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A 35-year-old patient has an amniocentesis performed to identify whether her baby has a
chromosomal defect. Which statement indicates that the patient understands the situation?
A: "the doctor will tell me if I should have an abortion when the test results come back"
B: "when all the lab results come back, my husbands and I will make a decision about the
pregnancy"
C: "My mother must not find out about all this testing. If she does, she will think I'm having an
abortion."
D: "I know there are support groups for parents who have a baby with birth defects, but we have
plenty of insurance to cover what we need" - CORRECT ANSWER ✔️✔️ -B: "when all the lab
results come back, my husbands and I will make a decision about the pregnancy"
The final decision about genetic testing and the future of the pregnancy lies with the patient. The
patient will involve only those people whom she chooses. An amniocentesis is done to detect
chromosomal defects; many women have this done to prepare and educate themselves for the
baby's arrival. The woman should also be assured that her care is confidential. Insurance will
,help cover expenses; however, a child with birth defects also takes a toll on the emotional,
physical, and social aspects of the parents' lives. Support groups are extremely important for
parents of a baby with birth defects.
A clinic nurse is planning a teaching session for childbearing-age female patients. Which
information should the nurse include in the teaching session with regard to avoiding exposing a
fetus to teratogens?
A: eliminate use of acne medication
B: immunizations should be updated during the first rimester of pregnancy
C: use of saunas and hot hubs during pregnancy should be during the winter months only
D: alcoholic beverages can be consumed in the first and third trimesters of pregnancy -
CORRECT ANSWER ✔️✔️ -A: eliminate use of acne medication
Elimination of non therapeutic drugs is the best action to avoid teratogen exposure. Acne
medication is not essential during pregnancy. Immunizations for diseases such as rubella are
contraindicated during pregnancy. Use of saunas and hot tubs are not recommended because
maternal hyperthermia is a significant teratogen. Alcohol is an environmental substance known
to be teratogenic and should not be consumed during pregnancy.
A couple is undergoing genetic counseling and are very concerned about the possibility of
having a child with a birth defect as a result of a strong family history on both sides of the
family. Which statement made by the nurse is evidence of therapeutic communication?
, A: "It is important to ask other members of your family for any information they can provide that
will help obtain more insight into the health history."
B: "Given what you have told me, there is little that anyone can do to improve outcomes."
C: although you may feel that you have no options, I can't really discuss these matters as only the
physician can provide you with information."
D: "Do you have all your forms filled out correctly? This will make the review easier to
accomplish. " - CORRECT ANSWER ✔️✔️ -A: "It is important to ask other members of your
family for any information they can provide that will help obtain more insight into the health
history."
Having as much information as possible will help analyze potential health outcomes. It also
shows that the nurse is taking the patients' concerns seriously. Telling the patients that there is
little anyone can do does not provide any comfort or hope and is therefore self-defeating.
Although the patients may have limited options based on their genetic and medical history, it is
important to provide support and not defer all communication to the physician. The nurse must
be able to provide support and counseling to patients. It is important to have completed forms,
but asking patients about them does not address their psychological concerns.
A karyotype is done on a patient's embryo. The results show 47, XY. The nurse interprets this for
the patient as a: