PN Genetics and Genomics in Pediatric
Nursing Assessment Questions and Answers
TheAnurseAshouldAfirstAaddressAtheAchild'sA_______AfollowedAbyAtheAchild'sA________.A-
ACORRECTAANSWERSA-GlucoseAlevel,Apotassium Alevel
ForAeachAassessment,AfindingAclickAtoAspecifyAifAtheAfindingAisAconsistentAwithATrisomyA21A
orATurnerAsyndrome.AEachAfindingAmayAsupportAmoreAthanAoneAdiseaseAprocessAorAnoneA
atAall.AThereAmustAbeAatAleastAonceAelectionAandAeveryAcolumn.AThereAdoesAnotAneedAtoAb
eAaAselectionAinAeveryArow.A-ACORRECTAANSWERSA-AlphaAfatAproteinAlevel-ATrisomyA21
SexAofANewbornA-ATurnerASyndrome
HandAcreaseAfindingsA-ATrisomyA21
NeckAFindingsA-ATurnerAsyndrome
AAnurseAatAaApediatricAclinicAisAreinforcingAteachingAforAtheAparentsAofAaAchildAwhoAhasAtyp
eAoneAdiabetesAmellitus.AWhichAofAtheAfollowingAtopicAshouldAtheAnurseAincludeAinAtheAteac
hingAplan?ASelectAallAthatAapply.A-ACORRECTAANSWERSA-
SignsAofAhyperglycemiaAandAhypoglycemia
HowAtoAprepareAforAexercise
FootAcare
MonitoringAHbA1cAlevels
AAnurseAassistingAinAtheACaraAnewbornAwhoAhasAaAheartAdisease.AWhichAofAtheAfollowingAr
iskAfactorsAcanAbeAaAattributedAtoAaAheartAdiseaseAdiagnosisAthatAtheAnurseAcanAincludeAw
henAreinforcingAteachingAtoAtheAparents?A-ACORRECTAANSWERSA-
TheAbiologicalAparentsAsmokeAduringApregnancy
AAnewborn'sAparentsAaskedAtheApediatricAnurse,A"AhowAwillAweAknowAifAourAchildAwillAhaveA
aAdisorderAthatAweAbothAcarry?"AWhichAofAtheAfollowingAresponsesAshouldAtheAnurseAprovi
deAtheAparents?A-ACORRECTAANSWERSA-
"AallAthreeAofAyouAwillAneedAtoAbeAtestedAtoAdetermineAtheAtypeAofAdisorderAandAtheAgenesAi
nvolved"
AAnurseAisAreinforcingAteachingAtoAtheAparentAofAaAtwoAweekAoldAdiagnosedAwithAPrader-
WilliAsyndromeAwhenAtheAparentAask,A"AwhatAhappensAforAaApersonAtoAhaveAthisAdisorder?
"AwhichAofAtheAfollowingAresponsesAshouldAtheAnurseAprovideAtoAtheAparent?A-
ACORRECTAANSWERSA-"AmostAcommonly,APrader-
WilliAsyndromeAoccursAwhenAthereAisAaAdeletionAofAchromosomeA15"
AAnurseAisAcaringAforAaA20AmonthAoldAtoddlerAdiagnosedAwithABetaAthalassemia.AWhichAofA
theAfollowingAmanifestationAshouldAtheAnursingAanticipateAasAtheAchildAdevelops?ASelectAa
llAthatAapplyA-ACORRECTAANSWERSA-SevereAanemiaAbyAtwoAyearsAold
FailureAtoAthriveA
BoneAdeformities
, AAnurseAisAcaringAforAaAfour-year-
oldAwhoAhasAhepatoblastoma.AWhichAofAtheAfollowingAfactorsAshouldAtheAnurseAidentifyAas
AriskAfactorsAforAtheAdevelopmentAofAhepatoblastoma? ASelectAallAthatAapply.A-
ACORRECTAANSWERSA-LowAbirthweight
TrisomyA21
MaternalAsmokingAduringApregnancyA
TotalAparenteralAnutritionA(TPN)
Explanation:
•AthereAareAseveralAriskAfactorsAthatAincreaseAtheAriskAofAaAchildAdevelopingAhepatoblastom
aA.AInfantsAwhoAhaveAaAlowAbirthAweight,AbiologicalAparentAwhoAhasApreeclampsia,Aparents
AwhoAsmokedAtobaccoAinAtheAperinatalAperiod,AoxygenAtherapy,Aradiation,AcertainAmedicati
on,AsuchAasAfurosemide,AandATPNAallAincreaseAtheAriskAofAdevelopingAhepatoblastoma
•AtheAconditionsAthatAincreaseAtheAriskAofAdevelopingAhepatoblastomaAinAtheAchildAincludeA
prematureAbirth,ABeckwithAWeidemannAsyndrome,AfamilialAadenomatousApolyposis,Aglyco
gen,AstorageAdisease,AtrisomyA18AandAtrisomyA21A(DownAsyndrome)
•AThereAareAseveralAfactorsAandAincreaseAtheAriskAofAaAchildAdevelopingAhepatoblastoma.AI
nfantsAwhoAhaveAaAlow,AbiologicalAparentAwhoAhasApreeclampsia,AparentAwhoAsmokedAtob
accoAinAtheAperinatalAperiod
AAparentAofAaAnewbornApresentsAtoAtheAclinicAforAtheAfirstAnewbornAvisit.ATheAproviderAdisc
ussesAtheApositiveAnewbornAscreeningAforAPhenylketonuriaA(PKU).ATheAparentAaskedAtheA
nurse,A"AwhyAdidn'tAtheyAfindAthisAwhileAIAwasApregnant?"AwhichAofAtheAfollowingAresponses
AshouldAtheAnurseAprovideAtheAparent?A-ACORRECTAANSWERSA-
"APKUAisAaAmetabolicAdisorderAthatArequiresAaAnewbornAtoAeatAbeforeAscreening"
Explanation:
IncludedAasApartAofAseveralAscreeningAtestAforAnewbornsAisAaAbloodAtestAforAPKU,AwhichAsh
ouldAbeAcompletedA24AtoA48AhoursAafterAbirth,AonlyAafterAtheAnewbornAhasAbeenAfedAprotei
nAfoundAinAformulaAorAbreastmilk
AApediatricAnurseAisAreinforcingAgenetics,AteachingAtoAtheAparentsAofAaAnewborn.AWhichAofA
theAfollowingAstatementsAbyAtheAparentsAindicateAandAunderstandingAofAtheAteaching?ASel
ectAallAthatAapply.A-ACORRECTAANSWERSA-
"AgeneticsAisAaAstudyAofAhowAgenesAareAinherited"
"AgenomicsAfocusesAonAhowAgenesAinteractAwithAeachAother"
"ACongenitalAanomaliesAoccurAduringApregnancy"
ExplanationA:
GeneticsAofAtheAstudyAofAindividualAgenesAandAhowAtheyAareAinheritedAbetweenAgeneratio
nsA
Nursing Assessment Questions and Answers
TheAnurseAshouldAfirstAaddressAtheAchild'sA_______AfollowedAbyAtheAchild'sA________.A-
ACORRECTAANSWERSA-GlucoseAlevel,Apotassium Alevel
ForAeachAassessment,AfindingAclickAtoAspecifyAifAtheAfindingAisAconsistentAwithATrisomyA21A
orATurnerAsyndrome.AEachAfindingAmayAsupportAmoreAthanAoneAdiseaseAprocessAorAnoneA
atAall.AThereAmustAbeAatAleastAonceAelectionAandAeveryAcolumn.AThereAdoesAnotAneedAtoAb
eAaAselectionAinAeveryArow.A-ACORRECTAANSWERSA-AlphaAfatAproteinAlevel-ATrisomyA21
SexAofANewbornA-ATurnerASyndrome
HandAcreaseAfindingsA-ATrisomyA21
NeckAFindingsA-ATurnerAsyndrome
AAnurseAatAaApediatricAclinicAisAreinforcingAteachingAforAtheAparentsAofAaAchildAwhoAhasAtyp
eAoneAdiabetesAmellitus.AWhichAofAtheAfollowingAtopicAshouldAtheAnurseAincludeAinAtheAteac
hingAplan?ASelectAallAthatAapply.A-ACORRECTAANSWERSA-
SignsAofAhyperglycemiaAandAhypoglycemia
HowAtoAprepareAforAexercise
FootAcare
MonitoringAHbA1cAlevels
AAnurseAassistingAinAtheACaraAnewbornAwhoAhasAaAheartAdisease.AWhichAofAtheAfollowingAr
iskAfactorsAcanAbeAaAattributedAtoAaAheartAdiseaseAdiagnosisAthatAtheAnurseAcanAincludeAw
henAreinforcingAteachingAtoAtheAparents?A-ACORRECTAANSWERSA-
TheAbiologicalAparentsAsmokeAduringApregnancy
AAnewborn'sAparentsAaskedAtheApediatricAnurse,A"AhowAwillAweAknowAifAourAchildAwillAhaveA
aAdisorderAthatAweAbothAcarry?"AWhichAofAtheAfollowingAresponsesAshouldAtheAnurseAprovi
deAtheAparents?A-ACORRECTAANSWERSA-
"AallAthreeAofAyouAwillAneedAtoAbeAtestedAtoAdetermineAtheAtypeAofAdisorderAandAtheAgenesAi
nvolved"
AAnurseAisAreinforcingAteachingAtoAtheAparentAofAaAtwoAweekAoldAdiagnosedAwithAPrader-
WilliAsyndromeAwhenAtheAparentAask,A"AwhatAhappensAforAaApersonAtoAhaveAthisAdisorder?
"AwhichAofAtheAfollowingAresponsesAshouldAtheAnurseAprovideAtoAtheAparent?A-
ACORRECTAANSWERSA-"AmostAcommonly,APrader-
WilliAsyndromeAoccursAwhenAthereAisAaAdeletionAofAchromosomeA15"
AAnurseAisAcaringAforAaA20AmonthAoldAtoddlerAdiagnosedAwithABetaAthalassemia.AWhichAofA
theAfollowingAmanifestationAshouldAtheAnursingAanticipateAasAtheAchildAdevelops?ASelectAa
llAthatAapplyA-ACORRECTAANSWERSA-SevereAanemiaAbyAtwoAyearsAold
FailureAtoAthriveA
BoneAdeformities
, AAnurseAisAcaringAforAaAfour-year-
oldAwhoAhasAhepatoblastoma.AWhichAofAtheAfollowingAfactorsAshouldAtheAnurseAidentifyAas
AriskAfactorsAforAtheAdevelopmentAofAhepatoblastoma? ASelectAallAthatAapply.A-
ACORRECTAANSWERSA-LowAbirthweight
TrisomyA21
MaternalAsmokingAduringApregnancyA
TotalAparenteralAnutritionA(TPN)
Explanation:
•AthereAareAseveralAriskAfactorsAthatAincreaseAtheAriskAofAaAchildAdevelopingAhepatoblastom
aA.AInfantsAwhoAhaveAaAlowAbirthAweight,AbiologicalAparentAwhoAhasApreeclampsia,Aparents
AwhoAsmokedAtobaccoAinAtheAperinatalAperiod,AoxygenAtherapy,Aradiation,AcertainAmedicati
on,AsuchAasAfurosemide,AandATPNAallAincreaseAtheAriskAofAdevelopingAhepatoblastoma
•AtheAconditionsAthatAincreaseAtheAriskAofAdevelopingAhepatoblastomaAinAtheAchildAincludeA
prematureAbirth,ABeckwithAWeidemannAsyndrome,AfamilialAadenomatousApolyposis,Aglyco
gen,AstorageAdisease,AtrisomyA18AandAtrisomyA21A(DownAsyndrome)
•AThereAareAseveralAfactorsAandAincreaseAtheAriskAofAaAchildAdevelopingAhepatoblastoma.AI
nfantsAwhoAhaveAaAlow,AbiologicalAparentAwhoAhasApreeclampsia,AparentAwhoAsmokedAtob
accoAinAtheAperinatalAperiod
AAparentAofAaAnewbornApresentsAtoAtheAclinicAforAtheAfirstAnewbornAvisit.ATheAproviderAdisc
ussesAtheApositiveAnewbornAscreeningAforAPhenylketonuriaA(PKU).ATheAparentAaskedAtheA
nurse,A"AwhyAdidn'tAtheyAfindAthisAwhileAIAwasApregnant?"AwhichAofAtheAfollowingAresponses
AshouldAtheAnurseAprovideAtheAparent?A-ACORRECTAANSWERSA-
"APKUAisAaAmetabolicAdisorderAthatArequiresAaAnewbornAtoAeatAbeforeAscreening"
Explanation:
IncludedAasApartAofAseveralAscreeningAtestAforAnewbornsAisAaAbloodAtestAforAPKU,AwhichAsh
ouldAbeAcompletedA24AtoA48AhoursAafterAbirth,AonlyAafterAtheAnewbornAhasAbeenAfedAprotei
nAfoundAinAformulaAorAbreastmilk
AApediatricAnurseAisAreinforcingAgenetics,AteachingAtoAtheAparentsAofAaAnewborn.AWhichAofA
theAfollowingAstatementsAbyAtheAparentsAindicateAandAunderstandingAofAtheAteaching?ASel
ectAallAthatAapply.A-ACORRECTAANSWERSA-
"AgeneticsAisAaAstudyAofAhowAgenesAareAinherited"
"AgenomicsAfocusesAonAhowAgenesAinteractAwithAeachAother"
"ACongenitalAanomaliesAoccurAduringApregnancy"
ExplanationA:
GeneticsAofAtheAstudyAofAindividualAgenesAandAhowAtheyAareAinheritedAbetweenAgeneratio
nsA