Answer to Question 1
Correct Answer: 2
Even though most individuals do not know their genetic makeup, the nurse can help plan strategies to promote and maintain health for the patient. Family history has long been a part of nursing assessment, but the relative importance of obtaining a family history has recently increased as our knowledge of the interaction of genes and the environment has expanded. In fact, it is an inexpensive first genetic screen, often underused by healthcare professionals. There is no evidence that the patient would not change any health habits. Although the family health history is significant it will not provide a direct prediction for the patient's children and is not the best answer. Information to determine the relationship between the patient and her family is not given.
Answer to Question 2
Correct Answer: 4
The abnormality being described is not 23 pairs of chromosomes, 26 pairs of chromosomes, or one with a missing member of a chromosome pair. A zygote that is trisomic, or one that has three chromosomes instead of the usual two, can produce the condition called trisomy 21 or Down syndrome. The specific chromosome involved with this disorder is number 21. That is the abnormality being described.
SHEEP HEART
Heart
Position of patient to assess jugular vein distention
Patient teaching: female genetalia and reproductive tract assessment
Patient teaching: male genetalia assessment
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