Questions: Question 20 (1 point) An infant girl is born with microcephaly. The infant also has a depressed nasal bridge, low-set ears, and a protruding tongue. What nursing diagnosis would be appropriate for this patient and her parents? a) Inability to suck related to protruding tongue b) Knowledge deficit related to trisomy 21 c) Impaired hearing related to low-set ears d) Altered breathing related to depressed nasal bridge

The answer is the second one (or B): Knowledge deficit related to trisomy 21.

Explanation for each option:

a) Inability to suck related to protruding tongue

• While a protruding tongue can indeed cause difficulties with sucking, this option does not encompass the broader context of the infant's condition, which is indicative of a genetic disorder.

b) Knowledge deficit related to trisomy 21

• This is the most appropriate nursing diagnosis. The combination of microcephaly, a depressed nasal bridge, low-set ears, and a protruding tongue are characteristic features of trisomy 21 (Down syndrome). Parents of an infant with this condition would likely need education and support to understand and manage the diagnosis.

c) Impaired hearing related to low-set ears

• Low-set ears can be associated with hearing impairments, but this option is too specific and does not address the overall condition of the infant.

d) Altered breathing related to depressed nasal bridge

• A depressed nasal bridge can contribute to breathing difficulties, but this option is also too specific and does not address the broader context of the infant's condition.

Summary: The most appropriate nursing diagnosis for the infant and her parents is "Knowledge deficit related to trisomy 21," as it addresses the need for education and support in understanding and managing the condition.