Steffan van Elbing, 3 years old, is brought to the local clinic. He is from the nearby Mennonite community and his parents tell the nurse that Steffan is "different" from other children in the community. During your nursing assessment you learn that Steffan was born at home and has never been seen by a physician.
You note that Steffan has microgenia, an unusually round face, macroglossia, almond-shaped eyes, upslanting palpebral fissures, short limbs, a single transverse palmar crease, poor muscle tone, and a larger than normal space between the big and second toes. (Learning Objectives 1, 3, and 4)
A. What would the nurse know to include in the nursing assessment?
Steffan is found to have a moderate intellectual disability.
B. Discuss the therapeutic management of Steffan.