Author Question: The OB-GYN nurse is assessing a pregnant patient, and recognizes genetic amniocentesis will be ... (Read 22 times)

Pineappleeh · **on:** Jun 27, 2018

The OB-GYN nurse is assessing a pregnant patient, and recognizes genetic amniocentesis will be indicated.

The nurse makes this conclusion because the indications for genetic amniocentesis are: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Maternal age under 35.
2. Ultrasound visualization at 8 weeks.
3. One child with a chromosome abnormality.
4. A family history of neural tube defects.
5. Both parents with an abnormal chromosome.

Question 2

To promote infant security in the hospital, the nurse instructs the parents of a newborn to:

1. Keep the baby in the room at all times.
2. Check the identification of all personnel who transport the newborn.
3. Place a No Visitors sign on the door.
4. Keep the baby in the nursery at all times.

patma1981 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3,4,5
Rationale 1: Women 35 or older are at greater risk for having children with chromosome abnormalities.
Rationale 2: Genetic ultrasound would be done at 1013 weeks and 1820 weeks.
Rationale 3: Parents who have a child with a chromosomal anomaly have an increased chance of having a second child with the abnormality.
Rationale 4: Family history of neural tube defects is an indication for genetic amniocentesis.
Rationale 5: If both parents carry an autosomal recessive disease, they have a 25 chance with each pregnancy that the fetus will be affected.

Answer to Question 2

2
Rationale 1: Newborns need to return to the nursery at times.
Rationale 2: Practicing safety measures and providing information to parents are important steps to prevent infant abduction. Parents should be instructed to check identification of all personnel who transport the newborn.
Rationale 3: A No Visitors sign would not ensure safety.
Rationale 4: Newborns will need to return to the nursery at times, but the newborn is not required to be there at all times.