The nurse is caring for a 9-year-old boy with achondroplasia. ...

[tfester]

The nurse is caring for a 9-year-old boy with achondroplasia. Which of the following would the nurse expect to assess?
 
  A) Narrow passages from the nose to the throat
  B) Slim stature, hypotonia, and a narrow face
  C) Craniosynostosis and a small nasopharynx
  D) Trident hand and persistent otitis media

Question 2

The nurse is counseling a couple who suspect that they could bear a child with a genetic abnormality. Which of the following would be most important for the nurse to incorporate into the plan of care when working with this family?
 
  A) Gathering information from at least three generations
  B) Informing the family of the need for a wide range of information
  C) Maintaining the confidentiality of the information
  D) Presenting the information in a nondirective manner

[KKcool]

Answer to Question 1

D
Feedback:
Achondroplasia results in disordered growth with an average adult height of 4 feet for males or females. Other distinguishing symptoms are a separation between the middle and ring fingers, called trident hand, and persistent otitis media and middle ear dysfunction. Narrow passages from nose to throat are a symptom of CHARGE syndrome. Slim stature, hypotonia, and a narrow face are symptoms of Marfan syndrome. Craniosynostosis and a small nasopharynx are symptoms of Apert syndrome.

Answer to Question 2

D
Feedback:
It is essential to respect client autonomy and present information in a factual, nondirective manner. In these situations, the nurse needs to understand that the choice is the couple's to make. Gathering information for three generations obtains a broad overview of what has been seen in both sides of the family. Maintaining confidentiality of the information is as important as with any other client information gathered. Informing family of the need for information is necessary because of its personal nature.

[tfester]

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[amcvicar]

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