Deck 7: Genetic Implications of Adult Health Nursing

Question 1

A person tells the nurse that her husband has chronic myelogenous leukaemia and is concerned that any of their children will inherit the same genetic disorder. Which of the following is an appropriate nursing response?

A)'There is no need to be concerned.'
B)'The same disorder could be inherited, but it's a decision that you will have to make.'
C)'The genetic makeup that created the chronic myelogenous leukaemia in your husband is not inheritable.'
D)'It would be very risky for you to have children.'

Answer 1

'The genetic makeup that created the chronic myelogenous leukaemia in your husband is not inheritable.'

Question 2

The doctor has ordered chromosomal analysis for a newborn baby. Which of the following tests has been ordered?

A)Genotype.
B)Newborn screen.
C)Karyotype.
D)Phenotype.

Answer 2

Karyotype.

Question 3

A couple have a son who has haemophilia A. They are concerned about any future children they might have. What is the likelihood that they would have another son who also has haemophilia A?

A)0%.
B)25%.
C)50%.
D)75%.

Answer 3

50%.

Question 4

A person tells the nurse that her teenage son, who has a congenital abnormality, is demonstrating increasing anger and animosity toward her and her husband. The son is manifesting which of the following? He is:

A)confused and aggressive.
B)fostering resentment towards his parents.
C)displaying manifestations of the congenital abnormality.
D)behaving as a normal teenager.

Question 5

A 42-year-old pregnant woman asks the nurse if her baby will be born with Down syndrome. The nurse realises that a baby with this chromosomal abnormality would have which of the following?

A)An extra chromosome.
B)23 pairs of chromosomes.
C)A missing chromosome.
D)A sex chromosome abnormality.

Question 6

A mother who has given birth to a baby with Down syndrome is demonstrating anxiety and guilt. Which statement made by the mother supports this diagnosis?

A)'I do not want to hold my baby'.
B)'There is nothing wrong with my baby.'
C)'I am crying all the time.'
D)'I do not want anyone to come visit me and my baby.'

Question 7

Which of the following conditions results from an autosomal pattern of inheritance?

A)Cystic fibrosis.
B)Huntington disease.
C)Down syndrome.
D)Duchenne muscular dystrophy.

Question 8

Both individuals of a couple are heterozygous for an autosomal trait or condition. What is the likelihood that they would have an affected child?

A)0%.
B)25%.
C)50%.
D)75%.

Question 9

A person is upset to hear the nurse say that the results of genetic testing revealed 'wild-type' genes. What are 'wild-type' genes?

A)Mutated.
B)Altered.
C)Unexpected.
D)Normal.

Question 10

A 43-year-old pregnant woman asks the nurse how to find out if the baby will be born with Down syndrome. Which statement made by the nurse would be an appropriate response?

A)'The baby would have an extra chromosome.'
B)'The baby would have 23 pairs of chromosomes.'
C)'A missing chromosome would be identified.'
D)'The baby would have a sex chromosome abnormality.'

Question 11

A couple have a son who has haemophilia A. They are concerned about any future children they might have. What is the likelihood that they would have a daughter who also has haemophilia A?

A)0%.
B)25%.
C)50%.
D)75%.

Question 12

On completion of genetic testing, a person is happy to learn that she has a negative test result. What does this person need to understand?

A)This is not a guarantee that she will never develop a genetically caused disease.
B)Her children might develop disease from chromosomal translocation.
C)Any children she has will be free from genetic diseases.
D)She will never experience a genetically caused disease.

Question 13

A person has a history of a genetic disorder and is concerned that this same disorder will be passed to his children. What information should the nurse provide to this person?

A)The best possible plan is to avoid having children.
B)The majority of genetic disorders are passed to future children.
C)If the genetic disorder is a disorder of metabolism, it will most likely not be passed on to any children.
D)The children will inherit the disorder only if the disorder is on the sex chromosomes.

Question 14

What is the pattern of inheritance of haemophilia A?

A)Sex-linked.
B)Multifactorial.
C)Autosomal recessive.
D)Autosomal dominant.

Question 15

A 40-year-old person tells the nurse that her mother has Alzheimer's disease (AD). The person asks if she will get this disease. What would be the nurse's best response?

A)'You do have an increased risk of inheriting this disease.'
B)'Your children are likely to inherit this disease.'
C)'You are not at any risk of developing this disease.'
D)'You have a 20% chance of developing this disease.'

Question 16

A mother who has given birth to a baby with Down syndrome refuses to allow any family members to visit her or the newborn. What is the person demonstrating?

A)Poor maternal-child bonding.
B)Denial.
C)Postpartum depression.
D)Anxiety and guilt.

Question 17

A baby is born with a genetic disorder that did not affect either of the parents. Which of the following is true?

A)The father is the carrier of the disorder.
B)Both parents are carriers of the disorder.
C)The father is not the 'biological father' of the baby.
D)The disorder must be due to a mutation.

Question 18

At the conclusion of a genetic counselling session, a family member says to the nurse, 'There's got to be something that you aren't telling us.' Which of the following might be the reason for this statement by the individual? The individual is:

A)uncomfortable with the non-directive approach taken by the genetic healthcare providers.
B)feeling unsure because of the outcome of the testing.
C)angry with the findings from the testing.
D)demonstrating signs of denial.

Question 19

A baby is born with a genetic disorder. Neither parent has a history of this disorder. The nurse realises that the cause of this disorder could be which of the following?

A)An autosomal dominant condition.
B)Penetrance.
C)A spontaneous new mutation.
D)An X-linked dominant condition.

Question 20

Which of the following is true about Down syndrome?

A)The risk increases with increasing maternal age.
B)It causes a severe clotting defect.
C)Paternal age has no effect on the risk.
D)It inevitably results in miscarriage in early pregnancy.

Question 21

A woman and her future husband completed genetic testing through a laboratory that they found on the Internet. The woman is upset because the results determined that they are at risk of having children with congenital abnormalities. Which of the following is an appropriate nursing response?

A)'Are you concerned that your future husband now won't want to get married?'
B)'I wouldn't worry about those results.'
C)'You probably should not have any children.'
D)'It might be beneficial to validate those results with another lab.'

Question 22

A pregnant woman who has a family history of cystic fibrosis asks about the risks of transmission to her child. Which concept should be included in the discussion?

A)The condition does not skip generations.
B)There is less risk of transmission to female children.
C)Male and female children are equally affected.
D)The parents must both have cystic fibrosis for transmission to occur.

Question 23

A person tells the nurse that her mother has type 2 diabetes and coronary artery disease. What is the significance of this information?

A)It will help predict the future health of the person's children.
B)It is not pertinent to the person's current health issues.
C)Some diseases can increase the risk of future health problems the person may experience.
D)This information is not relevant to future health problems the person may experience.

Question 24

A person tells the nurse that her mother has type 2 diabetes and heart problems. What is the significance of this information? It:

A)helps predict the future health of the person's children.
B)is not pertinent to the person's current health issues.
C)can help predict the person's future health problems.
D)is not relevant to the person's future health problems.