The nurse assessing a newborn will recognize which of the following signs and symptoms as common features of Down syndrome?
a. wide space between the big and second toe
b. X-shaped double crease across the palm of the hand
c. large nose and raised nasal bridge
d. a small tongue in a large mouth
A
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A Correct. A common feature of DS is a wide space between the big and second toe.
B Incorrect. An X-shaped double crease across the palm of the hand is not a common feature of DS. Instead, a common feature is a square hand with a short fifth finger and a simian (single transverse) crease across the palm of the hand.
C Incorrect. A large nose and raised nasal bridge is not a common feature of DS. A small nose and a depressed nasal bridge is characteristic of DS.
D Incorrect. A small tongue in a large mouth is not a common feature of DS. A large tongue in a small mouth is characteristic of DS.
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