When providing support and education to the family of a child who ...

[tfester]

When providing support and education to the family of a child who is diagnosed with a serious genetic abnormality, which of the following would be the highest priority?
 
  A) Assisting with scheduling follow-up visits
  B) Establishing a trusting relationship
  C) Teaching the family what to expect
  D) Using measures to promote growth and development

Question 2

Which of the following would lead the nurse to suspect that a child has Turner syndrome?
 
  A) Webbed neck
  B) Microcephaly
  C) Gynecomastia
  D) Cognitive delay

[elizabethrperez]

Answer to Question 1

B
Feedback:
Regardless of the genetic abnormality, learning of a genetic abnormality may be shattering to the family. Therefore, the initial priority is to establish a trusting relationship. Once this is accomplished, other aspects of care, such as assisting with scheduling follow-up visits, teaching, and implementing measures to promote growth and development, can be addressed.

Answer to Question 2

A
Feedback:
Manifestations of Turner syndrome include webbed neck, low posterior hairline, wide-spaced nipples, edema of the hands and feet, amenorrhea, and absence of secondary sex characteristics, along with short stature and slow growth. Microcephaly is commonly associated with trisomy 13 . Gynecomastia and cognitive delay are associated with Klinefelter syndrome