Reflective Case Study
24-Hour NIPE Examination Suspected Down Syndrome
Clinical Background
During my NIPE examination of a 24-hour-old female infant on the postnatal ward, I was aware that antenatal screening had been declined. The pregnancy and birth were uncomplicated, and the baby was born at 39+4 weeks via spontaneous vaginal delivery with Apgar scores of 9 at 1 minute and 10 at 5 minutes.
The baby was feeding, maintaining temperature, and observations were within normal limits.
Assessment Findings
During the general inspection and head-to-toe examination, you noted several physical features:
Generalised hypotonia (floppiness)
Flat facial profile
Upward slanting palpebral fissures
Epicanthic folds
Small ears set slightly low
Single transverse palmar crease on the right hand
Mild gap between the first and second toes (sandal gap)
Cardiovascular and respiratory examinations were unremarkable at the time, and femoral pulses were present.
While each feature individually can be seen in typical neonates, the combination of findings raised suspicion of Down syndrome. Please use a reflective model to discuss this case
– State the model you will use, define the chosen topic, incidence, prevalence, risk factors, signs & symptoms, clinical features, treatment, long term and short term complications/management, when to escalate, role of midwife, documentation
( PLEASE NOTE THIS IS A GROUP PRESENTATION I AM ONLY DOING COMPLICATIONS AND MANAGEMENT )
NB: at least 3 slides, 2 references (Harvard) use UK English.
Requirements: 600
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