Author Question: Which of the following nursing diagnoses would be a priority for a 1-month-old girl with low-set ... (Read 72 times)

jhjkgdfhk · **on:** Jun 27, 2018

Which of the following nursing diagnoses would be a priority for a 1-month-old girl with low-set ears and severe hypotonia who is diagnosed with trisomy 18?

A) Interrupted family process related to the child's diagnosis
B) Deficient knowledge related to the genetic disorder
C) Risk for complicated grieving related to the child's prognosis
D) Inadequate coping related to stress of providing care

Question 2

The nurse is taking a health history of a 15-month-old boy who is not yet speaking. Which of the following findings is not a risk factor for a possible genetic disorder?

A) The child is of male gender and Caucasian race.
B) The grandmother and father had hearing impairments.
C) The child was a breech delivery 3 weeks early.
D) The mother was 37 when she became pregnant.

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

Answer to Question 1

C
Response:
Risk for complicated grieving related to the child's prognosis is a nursing diagnosis specific to this child's care. The prognosis for trisomy 18 is that the child will not survive beyond the first year of life. Inadequate coping related to the stress of providing care, deficient knowledge related to the genetic disorder, and interrupted family process due to the child's diagnosis could be appropriate for any family of a child with a genetic disorder.

Answer to Question 2

A
Response:
Being of male gender and Caucasian race is a risk factor for acute lymphoblastic leukemia, not genetic disorders. The fact that the child's grandmother and father have hearing impairments suggests a genetic disorder. The mother's age of 37 when she became pregnant and a breech delivery 3 weeks early are also risk factors for genetic disorders.