The pediatric nurse is conducting an information session for ...

[bobypop]

The pediatric nurse is conducting an information session for parents regarding genetic alterations in children. Which comments by the parents of a child with a cleft palate indicate learning occurred during the session? Select all that apply.
 
  A) I can't believe that it is because of my genes that our child has this disorder.
  B) Our child will need to be counseled when reaching adulthood since the risk for passing along the gene that causes cleft palate is increased.
  C) While I'm not sure what they are, I know that environmental factors have likely played a role in our child's cleft palate.
  D) I wish we had genetic testing before having children. We might have felt a little more prepared for the possibility of disorders in our children.
  E) This makes it almost certain that if we have more children they will have cleft palate as well.

Question 2

The nurse is obtaining a health history from parents whose 4-month-old boy has congenital hypothyroidism. What would the nurse most likely assess?
 
  A) The child has above-normal growth for his age.
  B) The child is active and playful.
  C) The skin is pink and healthy looking.
  D) It is difficult to keep the child awake.

[dudman123]

Answer to Question 1

Ans: B, C, D
Many of the common congenital malformations, such as cleft palate, are attributed to multifactorial inheritance (a combination of genes from both parents, along with unknown environmental factors, produces the trait or condition). These disorders tend to have familial tendencies as well.

Answer to Question 2

Ans: D
The parents may state, during the health history, that it is difficult to keep the child awake. Physical examination would reveal that the child is below weight and height, that his skin is pale and mottled, and that he is lethargic and irritable.

[bobypop]

TYSM

[JaynaD87]

Excellent