Author Question: During the hospital admission process, the child's parent receives information about the pediatric ... (Read 31 times)

ericka1 · **on:** Jun 27, 2018

During the hospital admission process, the child's parent receives information about the pediatric unit's goals, including the statement that the unit practices family-centered care. The parent asks why that should be important.

The nurse would respond that in the family-centered care paradigm, the: 1. Mother is the principal caregiver in each family.
2. Child's physician is the key person in assuring the health of a child is maintained.
3. Family serves as the constant influence and continuing support in the child's life.
4. Father is the leader in each home; thus, all communications should include him.

Question 2

A client asks what causes trisomy 21 (Down syndrome). Which explanation by the nurse is most appropriate?

a. A mutation occurs on the 21st chromosome, usually as a result of X-rays received during early pregnancy.
b. Down syndrome is caused by an inherited gene located on the 21st chromosome.
c. During a stage of division when either the egg or the sperm is made, the 21st chromo-some may not split properly.
d. Possibly as a result of a virus interfering with chromosome division, the egg is formed with only 21 chromosomes.

aadams68 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
Rationale:
1. Culturally competent care recognizes that both matriarchal and patriarchal households exist.
2. The physician is not present during the day-to-day routines in a child's life
3. The foundation for the development of trusting relationships and partnerships with families is the recognition that the family is the principal caregiver, knows the unique nature of each individual child best, plays the vital role of meeting the child's needs, and is responsible for ensuring each child's health.
4. Culturally competent care recognizes that both matriarchal and patriarchal households exist.

Answer to Question 2

B
Trisomy 21(Down syndrome) is caused by an inherited gene located on the 21st chromosome. It is the result of non-disjunction of maternal chromosome number 21 during meiosis. It is the most common genetic cause of severe learning disabilities in children and a major cause of mental retardation. X-ray exposure and viral interference are not associated with chromosomal defects.