
Medical-Surgical Nursing 9th Edition by Sharon Lewis ,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher
Edition 9ISBN: 978-0323086783
Medical-Surgical Nursing 9th Edition by Sharon Lewis ,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher
Edition 9ISBN: 978-0323086783 Exercise 1
Situation
A 30-year-old woman informs you that she is 3 months' pregnant. She has two children with her current husband. This pregnancy was unplanned, and her youngest child has cystic fibrosis (CF). She expresses concern regarding the possibility of having another child with CF. She mentions that she would like to have genetic testing on her fetus. Her husband asks you what the likelihood is of having another child with CF.
Ethical/Legal Points for Consideration
• With genetic testing, the patient and her family can find out whether their child will have CF. The woman and her husband can then make an informed decision.
• Genetic counseling is recommended before and after obtaining genetic testing because of the complexity of the information and the\ emotional issues involved with implications and options.
• Knowing that CF is an autosomal recessive condition, you can use Punnett squares (see Fig. 13-9) or a family pedigree (see Figs. 13-4 and 13-5) to show the woman and her husband the probability of having another child with CF.
1. What information would you give the patient and her husband regarding genetic testing in order for them to make an informed decision
2. What options are available for this couple
3. How would you assist this couple as they are considering terminating the pregnancy if the results of the genetic testing reveal that the fetus will have CF
Reference 1:
Reference 2:

A 30-year-old woman informs you that she is 3 months' pregnant. She has two children with her current husband. This pregnancy was unplanned, and her youngest child has cystic fibrosis (CF). She expresses concern regarding the possibility of having another child with CF. She mentions that she would like to have genetic testing on her fetus. Her husband asks you what the likelihood is of having another child with CF.
Ethical/Legal Points for Consideration
• With genetic testing, the patient and her family can find out whether their child will have CF. The woman and her husband can then make an informed decision.
• Genetic counseling is recommended before and after obtaining genetic testing because of the complexity of the information and the\ emotional issues involved with implications and options.
• Knowing that CF is an autosomal recessive condition, you can use Punnett squares (see Fig. 13-9) or a family pedigree (see Figs. 13-4 and 13-5) to show the woman and her husband the probability of having another child with CF.
1. What information would you give the patient and her husband regarding genetic testing in order for them to make an informed decision
2. What options are available for this couple
3. How would you assist this couple as they are considering terminating the pregnancy if the results of the genetic testing reveal that the fetus will have CF
Reference 1:
Reference 2:

Explanation
Genetic testing is a procedure involving...
Medical-Surgical Nursing 9th Edition by Sharon Lewis ,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher
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