The nurse is assessing a 4-year-old boy whose mother was 40 years old when he was born. Which finding suggests this child has a genetic disorder?
A) Inquiry determines the child had feeding problems.
B) Observation shows nasal congestion and excess mucus.
C) Inspection reveals low-set ears with lobe creases.
D) Auscultation reveals the presence of wheezing.
Ans: C
Low-set ears are associated with numerous genetic dysmorphisms. Additionally, the mother's age during pregnancy is a risk factor for genetic disorders. Feeding problems could have been due to low birthweight, prematurity, or a variety of other reasons. The nasal congestion may be a cold. The wheezing could be bronchiolitis or asthma.
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