Chapter 10 Fetal Development and Genetics

Chapter 10 Fetal Development and Genetics Test Bank for Maternity and Pediatric Nursing, 4th Edition by Ricci, Kyle, And Carman

1. The nurse is teaching a couple about the pros and cons of genetic testing. Which statement by the nurse best describes the limits of genetic testing? A. "Various genetic tests help the primary care provider choose aapbiprbr.ocopmri/taetset treatments." B. "Genetic testing helps couples avoid having children with fatal diseases." C. "Genetic tests identify people at high risk for preventable conditions." D. "Some genetic tests can give a probability for developing a disorder." Answer: D Rationale: The fact that some tests only provide a probability foradbierbv.ceolmo/pteisnt g a disorder raises a problem. A serious limitation of these susceptibility tests is that some people who carry a disease-associated mutation never develop the disease. Choosing appropriate treatments, avoiding having children with fatal diseases, and identifying those at high risk affirm the value of genetic tests. Question format: Multiple Choice Chapter 10: Fetal Development and Genetics Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Integrated Process: Teaching/Learning Reference: p. 342 2. The nurse is counseling a couple who suspect that they could bear a child with a genetic abnormality. What would be most important for the nurse to do when working with this family? A. Gather information for three generations. B. Inform the family of the need for information. C. Maintain the confidentiality of the information. D. Present the information in a factual, nondirective manner. Answer: D Rationale: It is essential to respect client autonomy and present inabfiorbr.mcoamt/iteosnt in a factual, nondirective manner. In these situations, the nurse needs to understand that the choice is the couple's to make. Gathering information for three generations obtains a broad overview of what has been seen in both sides of the family. Maintaining confidentiality of the information is as important as with any other client information gathered. Informin ag birt bh .ce omfa/temst ily of the need for information is necessary because of its personal nature. Question format: Multiple Choice Chapter 10: Fetal Development and Genetics Cognitive Level: Apply Client Needs: Psychosocial Integrity Integrated Process: Teaching/Learning Reference: p. 343-344 3. The nurse is teaching a couple about X-linked disorders because they are concerned that they might pass on hemophilia to their children. Which response indicates the need for further teaching? A. "The father can't be a carrier if he doesn't have hemophilia." B. "If the father doesn't have it, then his kids won't either." C. "If the mother is a carrier, her daughter could be one too." D. "If the mother is a carrier, her sons will have hemophilia."