pediatric nursing.
, Chapter 10
1. The nurse is teaching a couple about the pros and cons of genetic testing. Which statement by
the nurse best describes the limits of genetic testing?
A. "Various genetic tests help the primary care provider choose appropriate treatments."
B. "Genetic testing helps couples avoid having children with fatal diseases."
C. "Genetic tests identify people at high risk for preventable conditions."
D. "Some genetic tests can give a probability for developing a disorder."
Answer: D
Rationale: The fact that some tests only provide a probability for developing a disorder raises a
problem. A serious limitation of these susceptibility tests is that some people who carry a
disease-associated mutation never develop the disease. Choosing appropriate treatments,
avoiding having children with fatal diseases, and identifying those at high risk affirm the value of
genetic tests.
Question format: Multiple Choice
Chapter 10: Fetal Development and Genetics
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Reference: p. 342
2. The nurse is counseling a couple who suspect that they could bear a child with a genetic
abnormality. What would be most important for the nurse to do when working with this
family?
A. Gather information for three generations.
B. Inform the family of the need for information.
C. Maintain the confidentiality of the information.
D. Present the information in a factual, nondirective manner.
Answer: D
Rationale: It is essential to respect client autonomy and present information in a factual,
nondirective manner. In these situations, the nurse needs to understand that the choice is the
couple's to make. Gathering information for three generations obtains a broad overview of what
has been seen in both sides of the family. Maintaining confidentiality of the information is as
important as with any other client information gathered. Informing the family of the need for
information is necessary because of its personal nature.
Question format: Multiple Choice
Chapter 10: Fetal Development and Genetics
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Teaching/Learning
Reference: p. 343-344