Children with Down syndrome can surprise parents with their unique traits at birth, raising questions about disabilities. While prenatal testing may indicate issues, it also allows parents to prepare with information and support. These children may learn slowly but should be encouraged based on their talents, as skills can grow increasingly positive with improved support. Occupational therapists can help children with Down syndrome learn that reckless behaviors have consequences, though they require time, consistency and understanding of cognitive limitations. Some children with Down syndrome now graduate from high school or study after graduating, showing intellectual and social abilities beyond expectations of even a few years ago. Learning centers are important for children with Down syndrome, who often enjoy learning even if for another's approval, and positive teacher relationships promote learning