Exam 5: Hereditary and Environmental Influences on Childbearing

The nurse receives a report on an infant whose analysis indicates 47 total chromosomes, with the abnormality noted at chromosome 21. What additional assessments will the nurse include when evaluating the infant?

The parents of a child with a karyotype of 47,XY, +21 ask the nurse what this means. Which is an accurate response by the nurse?

The nurse is explaining genetics to a group of nursing students. Which are autosomal recessive disorders that the nurse should include in the teaching session? (Select all that apply.)

The clinic nurse is reviewing charts on prenatal clients. Which client histories should the nurse understand that a referral to a genetic counselor is warranted? (Select all that apply.)

Two healthy parents who carry the same abnormal autosomal recessive gene have what percentage chance of having a child affected with the disorder caused by this gene? Record your answer as a whole number. _____%

Which statement is true of multifactorial disorders?

During the course of obtaining a genetic history from a female client, you note that there is a family history of a genetic disease on the maternal side but no evidence of symptomatology in the client or the client's children, two girls. Which observation can you make related to genetic expression?

An infant is born with blood type AB. The father is type A and the mother is type B. The father asks why the baby has a blood type different from that of the parents. The nurse's answer should be based on the knowledge that which is true?

Which characteristic is related to Down syndrome?

Match each term with the correct definition. -Autosomal dominant

A 35-year-old client has an amniocentesis performed to find out whether her baby has a chromosomal defect. Which statement indicates that the client understands her situation?

Which point should the nurse include when telling a couple about the prenatal diagnosis of genetic disorders?

A clinic nurse is planning a teaching session for childbearing-age female clients. Which should the nurse include in the teaching session with regard to avoiding exposing a fetus to teratogens?

Which statement made by the nurse is evidence of therapeutic communication for a couple who is undergoing genetic counseling and very concerned about the possibility of having a child with a birth defect as a result of a strong family history on both sides of the family?

The patient indicates to the clinic nurse that she is trying to become pregnant. The clinic nurse reviews the patient's chart and notes the following laboratory values: blood type O-, RPR nonreactive, rubella nonimmune, HCT 35%. Which laboratory value is most concerning to the nurse?

Which question posed by the nurse will most likely promote the sharing of sensitive information during a genetic counseling interview?

A client tells the nurse at a prenatal interview that she has quit smoking, only has a glass of wine with dinner, and has cut down on coffee to four cups a day. Which response by the nurse will be most helpful in promoting a lifestyle change?

A nurse is working with a client to obtain information needed for genetic counseling. Which tool will be used to obtain this information?

People who have two copies of the same abnormal autosomal dominant gene will usually be:

Testing for the cause of anomalies in a stillborn infant is being done. The mother angrily asks the nurse how long these tests are going to take. The nurse should understand that the mother is: