Author Question: The nurse is preparing information for a group of parents as part of genetic counseling. What basic ... (Read 73 times)

CBme · **on:** Jun 25, 2018

The nurse is preparing information for a group of parents as part of genetic counseling. What basic principles of inheritance should the nurse include in this presentation?

Select all that apply.
1. All genes are paired.
2. Only one gene is passed on to offspring.
3. The mother's genes are transmitted to offspring.
4. The father's genes are used to fill in genetic deficits in offspring.
5. One copy of a gene comes from the mother and the other copy from the father.

Question 2

A patient pregnant with her first child is in need of genetic testing. The health plan will cover the testing to an extent. What should the nurse encourage the patient to consider before making a decision about the testing?

Select all that apply.
1. Extended family members may resent the patient.
2. There might not be treatment available for the genetic disorder.
3. The patient may terminate the pregnancy before family is informed.
4. The patient must determine whether she is prepared for lifestyle alterations based upon the results.
5. The insurance company will have information about the genetic testing.

Mollythedog · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 1, 2, 5
The basic underlying principles of inheritance that nurses can apply to inheritance risk assessment and teaching include: (1) all genes are paired, (2) only one gene of each pair is transmitted (passed on) to an offspring, and (3) one copy of each gene in the offspring comes from the mother and the other copy comes from the father. Both parents' genes are transmitted to offspring. The father's genes are not used to fill in genetic deficits in offspring.

Answer to Question 2

Answer: 1, 2, 4, 5
Depending upon the results, family members may resent the patient for having a baby with a genetic disorder. Depending upon the results, there might not be a treatment available for the disorder. Termination of pregnancy is not something that should be discussed at this time. The patient may or may not be able to care for the baby depending upon the genetic disorder. Since the health plan does provide genetic testing coverage, the plan will have information about the testing.