Peds genetics

What site should the nurse use to obtain a blood sample to screen a neonate for phenylketonuria (PKU)? A-heel B-radial artery C-scalp vein D-brachial artery

A

Atropine is being administered to a child with sinus bradycardia. Which information is most accurate about the administration of this medication? A-increases heart rate B-raises blood pressure C-dilates bronchial tubes D-decreases heart rate

A

While assessing a neonate 30 minutes after birth, the nurse observes that the child has a short neck covered with webbing. The nurse should further assess the client for which problem? A-genetic deviations B-cleft palate C-Potter's syndrome D-neural tube defects

A

Which foods would the nurse teach the parents of a child with phenylketonuria (PKU) to avoid? Select all that apply. A-hamburger B-hot dog C-ice cream D-juice E-cereal

A B C

Which common characteristics should the nurse include in the teaching plan for a multiparous client after giving birth to a neonate diagnosed with Down Syndrome? Select all that apply A-webbed neck B-small testes C-congenital heart defects D-polydactyly E-epicanthal folds F-hypotonia

A C E F

A client is a 43-year-old G2 P1 at 16 weeks' gestation that has completed prenatal testing for chromosomal abnormalities. The results reveal the infant is a female with Down syndrome. The parents are seeking information about this syndrome. What should the nurse tell the parents? Select all that apply. A-Down syndrome can occur in mothers of any age. B-Down syndrome is correlated with autosomal dominant traits carried by the parents. C-Down syndrome is a result of autosomal recessive traits carried by the parents. D-Down syndrome depends upon maternal prenatal care since pregnancy began. E-Down syndrome occurs more frequently with advanced maternal age. F-Down syndrome results from a trisomy of chromosome 21.

A E F

Metabolic screening of an infant revealed a high phenylketonuria (PKU) level. Which statement the infant's mother indicates understanding of the disease and its management? Select all that apply. A-"My baby cannot have milk-based formulas." B-"My baby will grow out of this by the age of 2." C-"This is a hereditary disease, so any future children will have it, too." D-"My baby will eventually become intellectually disabled because of this disease." E-"We have to follow a strict low-phenylalanine diet." F-"A dietitian can help me plan a diet that keeps a safe phenylalanine level but lets my baby grow."

AEF

A 10-month-old child with phenylketonuria (PKU) is being weaned from breast-feeding. When teaching the parents about the proper diet for their child, the nurse should stress the importance of restricting meats and dairy products because: A-they are difficult for clients with PKU to digest. B-they contain high levels of phenylalanine. C-they are not well tolerated in children with PKU until after age 2. D-they contain high levels of phenylketones, which inhibit muscle growth.

B

Parents bring a newborn to a well-child check-up and tell the nurse they are concerned about the safety of vaccinations due to a link to autism spectrum disorders. What response by the nurse would be most appropriate? A- "Autism spectrum disorders are a genetic problem and not caused by vaccines." B-"The concerns with autism spectrum disorders from vaccines are not well supported by research." C-"I have never heard of any cases of autism spectrum disorders occurring from vaccines." D-"I will tell your pediatrician about your wishes so we can plan your visit."

B

When preparing to obtain a neonatal screening test for phenylketonuria (PKU), the nurse understands that the neonate must have been fed what to ensure reliable results? A- a feeding of an iron-rich formula B-nothing by mouth for 4 hours before the test C-initial formula or breast milk at least 24 hours before the test D-a feeding of glucose water

C

When teaching the mother of a child diagnosed with phenylketonuria (PKU) about its transmission, the nurse should use knowledge of which factor as the basis for the discussion? A-chromosome translocation B-chromosome deletion C-autosomal recessive gene D-x-linked recessive gene

C

A 3-year-old is seen in the well child clinic. The parent is concerned that the child may be autistic. Which assessment data would indicate a concern to the nurse? Select all that apply. A-inability to separate from mother B-inability to stay on task C-lack of communication abilities D-withdrawing into a private world E-inability to develop social skills

C D E

The nurse is notified that a neonate who was discharged several days ago has a phenylketonuria (PKU) metabolic screening test result of 7 mg/dL. What action should the nurse take? A-Notify the parents to bring the neonate to the hospital to repeat the test. B-Notify the healthcare provider of the normal test result. C-Notify the blood bank because the neonate requires a blood transfusion. D-Notify the healthcare provider because the test result is critically elevated.

D

Which child should the nurse assess as demonstrating behaviors that need further evaluation? A-a 2-year old who refuses to be toilet trained and talks to himself B-a 6-year-old who sucks her thumb when tired and has never spent the night with a friend C-a 10-year-old who frequently tells his mother that he is going to run away whenever they argue D-a 2-year-old who is indifferent to other children and adults and is mute

D