A Child with Down Syndrome Who Has Sleep-Disordered Breathing with Obstructive

question 4

Multiple Choice

A child with Down syndrome who has sleep-disordered breathing with obstructive sleep apnea continues to have symptoms in spite of tonsillectomy and adenoidectomy and treatment with a leukotriene receptor antagonist medication and a nasal steroid spray. The primary care pediatric nurse practitioner will refer the child to a sleep disorder clinic to discuss which therapy?

• A) Craniofacial surgery
• B) Oral appliances
• C) Positive airway pressure therapy
• D) Supplemental oxygen

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