Author Question: Healthcare providers strongly suggest that a client undergo genetic testing before becoming ... (Read 141 times)

justinmsk · **on:** Jun 27, 2018

Healthcare providers strongly suggest that a client undergo genetic testing before becoming pregnant. What should the nurse do to ensure this client's informed consent and confidentiality? Select all that apply.

1. Explain potential societal impact.
2. Discuss risks and benefits of the test.
3. Explain that all genetic testing is voluntary.
4. Review potential physical or psychologic harm.
5. Expect that results are to be shared with family.

Question 2

The nurse suspects that a pregnant client will be scheduled for chorionic villi sampling (CVS). What assessment data did the nurse use to make this clinical determination? Select all that apply.

1. Client age 39 years
2. Client carrying twins
3. Fetus at 10 weeks' gestation
4. Client has an X-linked disorder
5. Client has a history of smoking

anoriega3 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1, 2, 3, 4
Explanation:
1. It is the nurse's responsibility to ensure that the consent process includes discussion of the potential societal injury due to stigmatization or discrimination.
2. It is the nurse's responsibility to ensure that the consent process includes discussion of the risks and benefits of the test.
3. All genetic testing should be voluntary.
4. It is the nurse's responsibility to ensure that the consent process includes discussion of any physical or psychologic harm.
5. Discussing the sharing of results with family does not ensure the client's informed consent or confidentiality.

Answer to Question 2

1, 3, 4
Explanation:
1. Invasive diagnostic testing is frequently targeted to women who are over the age of 35.
2. Number of fetuses is not an indication for invasive diagnostic testing.
3. Chorionic villi sampling can be performed after 9 weeks' gestation.
4. Invasive diagnostic testing is frequently targeted to women who have an X-linked disorder.
5. Smoking history is not an indication for invasive diagnostic testing.