Homework Clinic
Hands-on Clinic => Nursing and Clinical => Topic started by: haleyc112 on Jun 27, 2018
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Individuals with a recessive gene inheritance pattern should be advised that
a. if one parent is a carrier, there is a 50 percent chance of having affected children
b. prenatal screening for recessive gene disorders is rarely performed
c. the disease is passed from generation to generation
d. if both parents are carriers, there is a 25 percent chance of having affected offspring
Question 2
On the third postpartum day, a client who is bottle-feeding complains of full, painful breasts. Which intervention would be appropriate to suggest?
a. Apply tight binder, and ask physician for drugs to suppress lactation.
b. Use electric breast pump to empty milk, and restrict fluids.
c. Manually express milk frequently, take a warm shower, and take analgesics.
d. Wear well-fitting support bra, use ice packs, and take analgesics.
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Answer to Question 1
D
If both parents are carriers, there is a 25 percent chance of having affected offspring. A recessive disease can only be phenotypically expressed when two copies of the mutant allele are present; therefore, both parents must equally contribute to this outcome. Because there is a risk of having an affected offspring, prenatal screening may be performed. A disease passed from generation to generation occurs because of autosomal dominant inheritance.
Answer to Question 2
D
The most appropriate intervention by the nurse would be to suggest that the woman wear well-fitting support bras, use ice packs, and take analgesics. Applying tight binder and asking physician for drugs to suppress lactation are not appropriate actions in part because 3 days postpartum is too late for lactation suppression medications, which are seldom used today. Using an electric breast pump to empty milk or manually expressing milk frequently will increase the client's breast engorgement by stimulating milk production.