Author Question: The nurse is teaching a couple about X-linked disorders because they are concerned that they might ... (Read 74 times)

jho37 · **on:** Jun 27, 2018

The nurse is teaching a couple about X-linked disorders because they are concerned that they might pass on hemophilia to their children. Which of the following responses indicates the need for further teaching?

A) The father can't be a carrier if he doesn't have hemophilia.
B) If the father doesn't have it, then his kids won't either.
C) If the mother is a carrier, her daughter could be one too.
D) If the mother is a carrier, her sons may have hemophilia.

Question 2

The nurse is providing guidance after observing a mother interact with her negative 2-year-old son. In which situation is the mother handling the negativism properly?

A) Telling the child to stop tearing pages from magazines
B) Asking the child if he would please stop throwing toys
C) Telling the child firmly, We don't scream in the office.
D) Saying, Please come over here and sit in this chair, OK?

josephsuarez · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Response:
Hemophilia is an X-linked recessive disorder. This means that both the father and the mother must have the gene for hemophilia to pass it on to their children. Also, their sons will have hemophilia, while their daughters have only a 50 chance of having the disorder. If the father has hemophilia and the mother has hemophilia, their children will have the disease. If the father has hemophilia and the mother is a carrier, all their children have a 50 chance of getting the disease.

Answer to Question 2

C
Response:
Telling the child firmly, We don't scream in the office gets the point across to the child that his behavior is unacceptable while role-modeling appropriate communication. Telling the child to stop tearing up magazines does not give him direction for appropriate behavior. Asking the child if he would quit throwing toys gives him an opportunity to say no, as does asking OK? at the end of a direction.