The nurse is assessing a child with Down syndrome. Which of the following is this child at a greater risk to develop when compared with children who do not have Down syndrome?
1. Hepatitis
2. Thyroid disease
3. Glomerulonephritis
4. Rheumatic heart disease
2
Rationale:
1. Hepatitis is not associated with Down syndrome.
2. Thyroid disease, as well as other autoimmune diseases, is more commonly seen in those with Down syndrome.
3. Glomerulonephritis is not seen in association with Down syndrome.
4. Heart defects might be seen with Down syndrome, but not rheumatic heart disease, which is associated with Group A beta-hemolytic streptococcus infection.
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