Deck 3: Genetic and Genomic Influences in Maternal, Newborn, and Child Health

Question 1

A family is scheduled for a genetic consultation. What should the nurse explain to the family about this appointment? Select all that apply.
1) A diagnosis will be made.
2) Photographs may be taken.
3) An interview will be conducted.
4) A geneticist will examine the child.
5) The appointment can last several hours.

Answer 1

2, 3, 4, 5

Question 2

The staff development trainer is preparing content on the psychologic implications of genetic testing for a group of neonatal intensive care nurses. What should the trainer include in this instruction? Select all that apply.
1) Survivor guilt of other nonaffected children
2) Feelings of unworthiness and altered self-image
3) Carrier status interfering with relationships
4) Formation of higher expectations for the child
5) Stress of uncertainty while waiting for test results

Answer 2

1, 2, 3, 5

Question 3

The nurse notes that a patient is admitted for treatment of a disease caused by a single-nucleotide genetic disorder. For which health problem should the nurse plan care for this patient?
1) Cancer
2) Heart disease
3) Sickle cell anemia
4) Huntington disease

Answer 3

3

Question 4

A patient asks why a genetic pedigree is being prepared. What responses would be appropriate? Select all that apply.
1) Illustrates patterns of inheritance
2) Reduces the cost for genetic diagnostic testing
3) Provides guidance for reproductive risk teaching
4) Identifies appropriate diagnostic tests for the patient
5) Identifies family members who would benefit from genetic counseling

Question 5

The nurse suspects that a pregnant patient will be scheduled for chorionic villi sampling (CVS). What assessment data did the nurse use to make this clinical determination? Select all that apply.
1) Patient age 39 years
2) Patient carrying twins
3) Fetus at 10 weeks' gestation
4) Patient has an X-linked disorder
5) Patient has a history of smoking

Question 6

A pregnant patient is scheduled for fetal genetic testing to determine the presence of multifactorial disorders. Which health problems can occur in the fetus from this type of genetic anomaly? Select all that apply.
1) Autism
2) Asthma
3) Cleft lip
4) Scoliosis
5) Cleft palate

Question 7

A patient learns that Huntington disease has occurred in some family members. Which type of genetic anomaly should the nurse explain as causing this disorder?
1) Somatic mutation
2) Germline mutation
3) Single gene mutation
4) Trinucleotide repeat expansion

Question 8

Healthcare providers strongly suggest that a patient undergo genetic testing before becoming pregnant. What should the nurse do to ensure this patient's informed consent and confidentiality? Select all that apply.
1) Explain potential societal impact.
2) Discuss risks and benefits of the test.
3) Explain that all genetic testing is voluntary.
4) Review potential physical or psychologic harm.
5) Expect that results are to be shared with family.

Question 9

After genetic testing, a patient is suspected of having mitochondrial gene alteration. When reviewing the test result with the patient, which body systems are noted as being affected by this alteration? Select all that apply.
1) Brain
2) Renal
3) Cardiac
4) Genitourinary
5) Musculoskeletal

Question 10

Two family members are diagnosed with the same genetic disorder but have distinctly different manifestations. What should the nurse consider as being the reason for this occurrence?
1) Imprinting
2) Penetrance
3) New mutation
4) Variable expression

Question 11

The nurse determines that a newborn has a minor genetic anomaly. What did the nurse most likely assess in this infant? Select all that apply.
1) Broad face
2) Wide-set eyes
3) Single palmar crease
4) Low anterior hairline
5) Upward-slanting eyes

Question 12

Through genetic testing a patient is found to have a germline mutation of a specific gene. What information about this finding should be reviewed with the patient?
1) No children will have the mutation.
2) All future children will have the mutation.
3) Only male children will have the mutation.
4) Only female children will have the mutation.

Question 13

The nurse is reviewing a list of families scheduled for clinic visits. Which family would benefit from genetic counseling?
1) Family who has a child with cystic fibrosis
2) Family whose youngest child is overweight
3) Family whose oldest child wears eyeglasses
4) Family who has a neighbor with Down syndrome

Question 14

The nurse learns that a patient from a different country and culture was married to her first cousin before moving to the United States. The couple is expecting their first child in 4 months. What should the nurse consider when counseling this patient?
1) Birth control
2) Carrier testing
3) Pregnancy termination
4) Legal issues in the United States

Question 15

From genetic testing a patient learns of having a Y-linked genetic disorder. Which health problem would be explained by this finding?
1) Infertility
2) Hemophilia A
3) Beta-thalassemia
4) Tay-Sachs disease

Question 16

A genetic screening test completed on a newborn is found to be positive. What should the nurse anticipate the next action will be for this infant?
1) Scheduling for diagnostic testing
2) Discussing the need for major intervention
3) Nothing, since further action is not necessary
4) Instructing the parents on expression of the genetic disorder

Question 17

The nurse is reviewing the process of mitosis with a group of young adults attending a family planning seminar. What should the nurse include when explaining the role of mitosis? Select all that apply.
1) Replaces lost skin cells
2) Ensures rapid cell growth in early life
3) Results in the formation of sperm and ova
4) Maintains cells for respiratory functioning
5) Ensures continuity of cells in the gastrointestinal tract

Question 18

A patient scheduled for genetic testing is concerned that an employer will learn about the testing and terminate the patient's employment. How should the nurse respond to this patient?
1) "There really is not anything that can be done."
2) "The insurance company has to report the testing to the employer."
3) "Your employer will have this information from the healthcare claim."
4) "There is a federal law prohibiting employers from using genetic information for employment purposes."

Question 19

Through genetic testing a homosexual male learns of having two copies of a gene deleted in gene CCR5. What should the nurse prepare to discuss with this patient? Select all that apply.
1) Safe sexual practices
2) Reduced risk of contracting HIV
3) Increased risk of contracting HIV
4) Expectation to develop AIDS quickly
5) Delayed conversion of HIV to AIDS
5) What should the nurse prepare to discuss with this patient? Select all that apply.
1) Safe sexual practices
2) Reduced risk of contracting HIV
3) Increased risk of contracting HIV
4) Expectation to develop AIDS quickly