GENETICS, CONCEPTION, AND FETAL
DEVELOPMENT UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
1. fathermandmmothermaremcarriersmofmphenylketonuriam(PKU).mTheirm2myearmoldmdaughtermh
asmPKU.mThemcouplemtellsmthemnursemthatmtheymaremplanningmtomhavemamsecondmbaby.mBec
ausemtheirmdaughtermhasmPKU,mtheymaremsuremthatmtheirmnextmbabymwon'tmbemaffected.m
A. ThemoddsmofmhavingmanothermbabymwithmPKUmaremverymslim
B. Eachmbabymhasmam50%mchancemofmbeingmaffectedm
C. MalesmaremnotmaffectedmbymPKU
D. Themparentemarembothmcarriersmsomeachmbabymhasmam25%mofmbeingmaffected.m-
mCORRECTmANSWERmD
2. Themnursemismprovidingmgeneticmcounsellingmformanmexpectantmcouplemwhomalreadymhavem
amchildmwithmtrisomym18.mWhatmshouldmthemnursemdo?
A. Tellmthemcouplemtheymneedmtomterminatemthempregnancymwithinm2mtom3mweeksm
B. Explainmthatmthemfetusmhasmam50%mchancemofmhavingmthemdisorderm
C. Discussmthemoptions,mincludingmamniocentesis,mtomdeterminemwhethermthemfetusmi
smaffected.m
D. Refermthemcouplemtomampsychologistmformemotionalmsupport.m-
mCORRECTmANSWERmC
3. Themnursemismassessingmthemknowledgemofmnewmparentsmwithmamchildmbornmwithmmaplemsy
rupmurinemdiseasem(MSUD).mWhichmismaccuratemrelatedmtomMSUD?
A. Bothmgenesmofmampairmmustmbemabnormalmformthemdisordermtombempresent
B. Onlymonemcopymofmthemabnormalmgenemismrequiredmformthemformthemdisordermtombe
mpresent.m
C. Themdisordermoccursminmmalesmandmheterozygousmfemalesm
D. ThemdisordermismcarriedmonmthemXmchromosomem-mCORRECTmANSWERmA
, 4. Duringmampresentationmtomobstetricalmnursesminterestedminmgenetics,mwhatmdoesmthemgene
ticmnursemidentifymasmthemprimarymfactormtomconsidermwithmgeneticmtesting?
A. Anxietymandmalteredmfamilymrelationships
B. Accessibilitymrelatedmtomthemavailabilitymofmgeneticmtesting.m
C. Highmfalse-positivemratesmassociatedmwithmgeneticmtesting
D. Ethnicmandmsocioeconomicmdisparitymassociatedmwithmgeneticmtestingm-
mCORRECTmANSWERmB
5. Amman'smwifemismpregnancymformthemthirdmtime.monemchildmwasmbornmwithmcysticmfibrosisma
ndmthemothermchildmismhealthy.mThemmanmwondersmwhatmthemchancemismthatmthismchildmwit
hmhavemcysticmfibrosis.mWhatmismthismtypemofmtestingmknownmas?
A. Occurrencemrisk
B. Recurrencemrisk
C. Predictivemtesting
D. Predispositionmtestingm-mCORRECTmANSWERmB
6. Amcouplemhasmbeenmcounselledmformgeneticmanomalies.mTheymaskmyou,m"whatmismkaryotypi
ng?"mThemnursemresponsemismbasedmonmwhichminformationmrelatedmtomkaryotyping?
A. Itmwillmprovidemthemstatusmofmlungmmaturity
B. Itmismampredictormofmnormalmfetalmdevelopment
C. Itmidentifiesmfetalmgendermandmchromosomalminformation
D. Itmcanmdetectmphysicalmdeformitiesm-mCORRECTmANSWERmC
7. Inmpracticalmtermsmregardingmgeneticmhealthmcare,mwhichmshouldmthemnursembemawaremof?
A. Geneticmdisordermequallymaffectmallmsocioeconomicmbackgrounds,mracesmandmethni
cmgroups
B. Geneticmhealthmcaremismmoremconcernedmwithmpopulationsmthatmindividualsm
C. Itmismimportantmtomprovidememotionalmsupportmtomthemfamilymduringmgeneticmcoun
selling
D. Takingmgeneticmhistoriesmismonlymdoneminmlargemuniversitymhospitalsmandmtertiary-
caremcentres.m-mCORRECTmANSWERmC
8. Whatmshouldmnursesmbemawaremofmwithmregardmtomprenatalmgeneticmtesting?