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Case Study Mrs. V, a healthy 45-year-old woman, gives birth to a child.

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Case Study Mrs. V, a healthy 45-year-old woman, gives birth to a child. There are no outward complications associated with the birth but, when examined by the pediatrician, the child exhibits abnormal facies, a single palmar crease, hypotonic muscles, and loose pelvic joints. Following chromosomal analysis, a diagnosis of Down syndrome is made. Discussion

Questions 1. Discuss the cause of Down syndrome. (See Chromosomal Disorders—Trisomy 21.)

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2. What risks factors exist in the patient’s history? Why are these thought to be risk factors?

3. Discuss further characteristics, infections and/or cancers that the child may show as he gets older.