Step 1: Non-disjunction of the 21st chromosome during meiosis results in an extra copy of chromosome 21, causing Down syndrome (Trisomy 21).
Step 2: Symptoms include:
- Intellectual disability (mild to moderate).
- Characteristic facial features: flat face, slanted eyes, small ears.
- Congenital heart defects (e.g., atrial septal defect).
- Short stature and reduced muscle tone.
- Single transverse palmar crease and short fingers.