Chap 8 fam exam

tay sachs

8s A pregnant woman of Jewish descent comes to the clinic for counseling and tells the nurse that she is worried her baby may be born with a genetic disorder. Which disease does the nurse identify to be a risk for this client's baby based on the family's ancestry?

In vitro fertilization

A 45-year-old client and her spouse are present in the clinic. Results of fertility testing indicate that the client has damage to her fallopian tubes. Which would be the most appropriate infertility option for this client?

Tell the client these are normal findings during pregnancy

A client at 29-weeks gestation tells the nurse she is experiencing aches in her hips and joints. What would the nurse do next?

Stimulate the release of ova

A client is to take clomiphene citrate for infertility. Which outcome should the nurse explain is the expected action of this medication?

Cytogenetic analysis

A client is undergoing a genetic test involves microscopic examination of metaphase chromosomes. The nurse determines that which of the following is being done?

adminster Rh immune globulin

13s An Rh-negative patient is having an amniocentesis. What is the highest priority nursing intervention to perform immediately after the procedure?

opting for a preimplantation genetic diagnosis

A female client has the Huntington's disease gene. She and her husband want to have a child but are apprehensive about possibly transmitting the disease to their newborn child. They have strong views against abortion. They would also like to have their "own" child and would consider adopting only as a last resort. Which action would be most appropriate in this situation?

47XY18+

A genetic nurse is taking a health history for a 1-month-old male client with Edwards syndrome. How will the nurse note this genetic disorder in the documentation?

47xxy

A genetic nurse is taking a health history for a 45-year-old male client with Klinefelter syndrome. How will the nurse note this genetic disorder in the documentation?

Instruct her on chromosome testing studies

A new patient has come to the clinic. While the nurse is taking the patient's history, the patient tells the nurse she is trying to get pregnant and she is very fearful she will have another miscarriage. She states she has lost two pregnancies and she shares with the nurse that she does not know why she lost the babies. Based on this patient's history, what recommendation should the nurse make at the present time?

Decisional conflict related to continuation of pregnancy

A nurse is caring for a client who has just been told that her unborn baby carries a genetic disorder associated with significant health related issues. The client asks, "Should I kill the baby?" What is the most appropriate nursing diagnosis for this client?

47XX21+

A nurse is counseling a couple who have a 5-year-old daughter with Down syndrome. The nurse recognizes that their daughter's genome is represented by which chromosone combination?

β-thalassemia

A nurse is interviewing a couple at a preconception counseling session. The couple is of Greek heritage and are concerned about the possibility of their children being born with a genetic disorder. Based on the nurse's understanding of genetic disorders, the nurse would identify this couple as being at risk for which conditon?

MSAFP CVS Amniocentesis (maternal serum levels of alpha-fetoprotein , chorionic villi sampling)

A nurse is talking to a group of young couples who wish to conceive. One young woman asks the nurse if any tests predict fetal abnormalities. Which of the following tests should the nurse include in the discussion? (Select all that apply.)

Laboratory analysis Pattern of inheritance in a family Health history

A nurse working in a clinic that focuses on genetic counseling identifies which component as important when assessing clients for genetic disorders? Select all that apply.

Both parents must be heterozygous carriers.

A nursing student is preparing an oral presentation about autosomal recessive inheritance. What must occur for an offspring to demonstrate signs and symptoms of the disorder with this type of inheritance?

examination of egg and sperm

A patient in her late twenties visits the clinic to begin the process of in vitro fertilization (IVF). Her husband in his late fifties asks if there are any tests to check for any irregularities. What tests should the nurse discuss with this couple?

"Your statistical risk of another tubal pregnancy is increased."

A pregnant client presents for her first prenatal visit. She informs the nurse that she had an ectopic pregnancy 3 years ago. She ask the nurse if this would happen this time. Which response by the nurse would be best?

16 weeks

A pregnant client who is planning to have genetic testing asks the nurse when she should schedule her amniocentesis. What should the nurse tell the client?

downs syndrome

A pregnant woman undergoes a triple/quadruple screen at 16 to 18 weeks' gestation. What would the nurse suspect if the woman's level is decreased?

karyotyping

A woman is undergoing testing which provides a picture-like analysis of the number, form, and size of the woman's chromosomes. The nurse identifies this as:

This drug can be teratogenic early in pregnancy and shouldn't be continued if a pregnancy is suspected.

A woman trying to conceive has been prescribed metronidazole (Flagyl) for bacterial vaginosis. What should the nurse caution this patient while taking this medication?

MSAFP

A young woman who is pregnant for the first time goes to the clinic for her first prenatal visit. During the interview, she informs the primary are provider that there is no history of genetic defects in her or her husband's family. What test will most likely be prescribed for this client as a routine screening?

pre-embryonic embryonic fetal

After teaching a class on the stages of fetal development, the nurse determines that the teaching was successful when the group identifies which stages? Select all that apply.

The couple receives test results timely. The couple states understanding of inheritance. The couple demonstrates positive coping skills. f

In evaluating expected outcomes of a client, what might a nurse consider priority when working with genetic counseling? (Select all that apply.)

Down's Syndrome (Trisomy 21)

Nondisjunction of a chromosome results in which diagnosis?

open spinal defects

The nurse is assessing the latest laboratory results of a pregnant client who is at 17 weeks gestation. The nurse should prepare to teach the client about which possible defects after noting the maternal serum alpha-fetoprotein level is elevated above normal?

fertilization

The nurse is developing a presentation for a community group of young adults discussing fetal development and pregnancy. The nurse would identify that the sex of offspring is determined at the time of