During a neonate’s assessment shortly after birth, the nurse observes a large pad of fat at the back of the neck, widely set eyes, simian hand creases, and epicanthal folds. Which of the following actions is most appropriate?
1. Notify the physician immediately.
2. Ask the mother to consent to genetic studies.
3. Explain these deviations to the newborn’s mother.
4. Document these findings as minor deviations.
A large pad of fat at the back of the neck, widely set eyes, a simian crease in the hands, and epicanthal folds are typically associated with Down syndrome. The nurse should notify the physician immediately.
The physician should obtain consent for genetic studies and is responsible for explaining these deviations to the parents. However, the nurse may need to provide additional teaching to the mother and to answer any questions that may arise.
CN: Health promotion and maintenance; CL: Synthesize