The nurse is caring for a 1-year-old boy with Down syndrome. Which intervention would the nurse be least likely to include in the child’s plan of care?

Choice A reason: Children with Down syndrome often experience developmental delays. Explaining expected milestones helps parents understand their child’s progress and anticipate needs. This supports early intervention and realistic expectations. Choice B reason: Vision and hearing impairments are common in children with Down syndrome. Annual screenings are essential to detect and manage these issues early, ensuring optimal development and communication. Choice C reason: Seizures are not a common feature of Down syndrome. While they can occur in some individuals, they are not a routine concern in the care plan for a 1-year-old with this condition. Including seizure education would be less relevant unless the child has a known seizure disorder. Choice D reason: Children with Down syndrome are prone to hypotonia and gastrointestinal motility issues, including constipation. A high-fiber diet is often recommended to support bowel regularity and prevent discomfort. This is a relevant and proactive intervention.