Author Question: A client has sickle cell trait. What is the next step for evaluating the risk of the fetus ... (Read 49 times)

appyboo · **on:** Jun 27, 2018

A client has sickle cell trait. What is the next step for evaluating the risk of the fetus inheriting this disease?

a. Take an ultrasound.
b. Take an amniocentesis.
c. Determine the sickle cell status of the baby's father.
d. Obtain a pedigree of the family for inherited disorders.

Question 2

A 7-year-old client tells you that Grandpa, Mommy, Daddy, and my brother live at my house. The nurse identifies this family type as:

1. Binuclear.
2. Extended.
3. Gay or lesbian.
4. Traditional.

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

Answer to Question 1

C
Sickle cell disease is an autosomal recessive disorder requiring both parents to contribute to the outcome. An ultrasound will not diagnose sickle cell disease in the fetus. Amniocentesis is an invasive procedure, but it is not appropriate for diagnosing sickle cell disease.

Answer to Question 2

2
Rationale:
1. A binuclear family includes the divorced parents, who have joint custody of their biologic children, who alternate spending varying amounts of time in the home of each parent.
2. An extended family contains a parent or a couple who share the house with their children and another adult relative.
3. A gay or lesbian family is composed of two same-sex domestic partners; they might or might not have children.
4. The traditional nuclear family consists of an employed provider parent, a homemaking parent, and the biologic children of this union.