The PMHNP is evaluating a 4-year-old male patient who is presented to care by his new adoptive parents. The patient has been in a variety of foster homes since birth but is now finally in a stable adoptive home. The adoptive mother is concerned that he might have attention deficit hyperactivity disorder because he literally cannot sit still. He is constantly moving, and seems to shift attention from one thing to another without an ability to spend any meaningful time on one task, even if he is enjoying it. On physical examination the NP notes that the patient has short palpebral fissures, a thin upper lip, and a long, smooth philtrum.

Suspecting a diagnosis of fetal alcohol syndrome, the NP expects to find which additional physical findings?

A. Underdeveloped ears

B. Bradycardia

C. Polydactyl

D. Macrocephaly
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YouTube: https://www.youtube.com/watch?v=Uxvt3PB78us&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=52