What should a nurse practitioner advise about sports participation for a 13-year-old with Down syndrome?

In advising about sports participation for a 13-year-old with Down syndrome, the recommendation includes the need to be aware of specific health considerations, particularly regarding cervical instability, which is a common condition in individuals with Down syndrome.

Choosing to emphasize contact sports carries significant importance due to the increased risk of injury, particularly to the cervical spine. Children with Down syndrome can have atlantoaxial instability, which places them at greater risk for spinal cord injury during high-impact activities. Therefore, while allowing for participation in sports, it is crucial to assess the type of sport to ensure the child's safety.

The recommendation for screening for cervical instability is also essential, as it provides a clearer understanding of the child’s individual risk factors before participating in any physical activity. However, participation in non-contact sports can be appropriate if the child is screened and deemed safe.

Thus, the correct focus on the restrictions regarding contact sports reflects a prioritization of safety and an understanding of the underlying health risks associated with Down syndrome.