Which client(s) should the nurse refer to a genetics practitioner ...

[jon_i]

Which client(s) should the nurse refer to a genetics practitioner prior to attempting pregnancy?
 
  1. 32-year-old woman and 29-year-old man with 3-year-old twins
  2. 22-year-old woman whose sister has Tay-Sachs disease
  3. 30-year-old woman whose husband has AIDS
  4. 19-year-old woman whose sister has primary infertility

Question 2

A nurse is caring for the 1-hour-old infant of a diabetic mother. Which of the following should be included in the nurse's plan of care for this newborn?
 
  1. Take the newborn's temperature hourly.
  2. Use formula for all feedings, avoiding 5 dextrose.
  3. Evaluate blood glucose levels at 12 hours after birth.
  4. Assess for hyperthyroidism.

[covalentbond]

Answer to Question 1

2
Rationale:
1. This patient has no indication of having a genetic problem.
2. Tay-Sachs disease is an autosomal recessive condition; therefore, if the client's sister has the disease, the client could be a carrier for the condition.
3. The risk for this client is becoming infected with HIV while attempting conception. This couple has no indication of a genetic condition.
4. Primary infertility is not likely to be caused by a genetic defect that could be carried by a sibling. This client has no indication of a genetic condition.

Answer to Question 2

2
Rationale:
1. The onset of hypoglycemia occurs at 13 hours after birth, and can continue for several days.
2. Newborns of diabetic mothers can require frequent feedings to maintain normal levels of blood glucose. Formula feedings contain protein, and will maintain blood sugar better than glucose water alone.
3. Blood glucose levels should be checked hourly during the first four hours and then at four-hour intervals until stable normal levels are attained.
4. Hyperthyroidism is not associated with newborns of diabetic mothers.

[jon_i]

Excellent

[smrtceo]

TYSM