The nurse is providing genetic counseling for an expectant couple who already have a child with trisomy 18. The nurse should:
A) Tell the couple they need to have an abortion within 2 to 3 weeks.
B) Explain that the fetus has a 50% chance of having the disorder.
C) Discuss options with the couple, including amniocentesis to determine whether the fetus is affected.
D) Refer the couple to a psychologist for emotional support.

Question

Quizplus · Accepted Answer

The nurse should discuss options with the couple, including amniocentesis to determine whether the fetus is affected. It is not appropriate for the nurse to suggest or encourage abortion. The 50% chance of having the disorder may be addressed, but further testing is necessary for confirmation. Emotional support may also be necessary, but the primary focus should be on providing information and options for the couple.

The Nurse Is Providing Genetic Counseling for an Expectant Couple