A pediatric client diagnosed with Turner syndrome tells the ...

[segrsyd]

A pediatric client diagnosed with Turner syndrome tells the nurse, I feel different from my peers. Which response by the nurse is the most appropriate?
 
  1. Tell me more about the feelings you are experiencing.
  2. These feelings are not unusual and should pass soon.
  3. You'll start to grow soon, so don't worry.
  4. You seem to be upset about your disease.

Question 2

A parent of a newborn asks the nurse why a heel stick is being done on the baby to test for phenylketonuria (PKU). Which response by the nurse is the most appropriate?
 
  1. This screening is required and detection can be done before symptoms develop.
  2. The infant has high-risk characteristics.
  3. Because the infant was born by cesarean, this test is necessary.
  4. Because the infant was born by vaginal delivery, this test is recommended.

[eliasc0401]

Answer to Question 1

Correct Answer: 1
Rationale: The lack of growth and sexual development associated with Turner syndrome presents problems with psychosocial development. Self-image, self-consciousness, and self-esteem are affected by the girl's perception of her body and how she differs from peers. The nurse should encourage more expression of the girl's feelings. Responding that the feelings will pass, that she'll start to grow, or that she is upset about the disease would not be therapeutic.

Answer to Question 2

Correct Answer: 1
Rationale: Screening for phenylketonuria is required by law in every state. It is not done according to high-risk characteristics or type of delivery.