Answer to Question 1
3
Rationale 1: Not all fetal anomalies are detectable by ultrasound.
Rationale 2: Nuchal translucency measurements are screening, not diagnostic, for trisomies 13, 18, and 21.
Rationale 3: Ultrasounds provide a very clear photo-like image of the fetus, often providing parents the opportunity to identify a familial characteristic such as nose shape.
Rationale 4: Transvaginal ultrasound is used to measure the cervical length as a screening for risk for preterm labor. However, a normal-length cervix does not preclude preterm birth.
Answer to Question 2
Answer:1
Rationale: The child with cystic fibrosis has something the younger child does not have.Cystic fibrosis brings the affected child more attention from others. Even if parents strive to spend more time with siblings of ill children,the well child will be jealous,because the situation can never be equal. The 5-year-old child does not understand the complications of the disease and only sees the 9-year-old child treated differently.Sibling s of ill children may experience loneliness,isolation,or anger;but the child's comment does not support these feelings.
Patient teaching: nose and sinus assessment
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