What assessment findings should lead the nurse to suspect Down syndrome in a newborn?
a. Hypertonia and dark skin
b. Low-set ears and a simian crease
c. Inner epicanthal folds and a high, domed forehead
d. Long, thin fingers and excessive hair
ANS: B
Manifestations of the Down syndrome infant include low-set ears, simian crease, protruding tongue, and hypotonic extremities.
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