Answer to Question 1
2
Rationale:
1. This patient has no indication of having a genetic problem.
2. Tay-Sachs disease is an autosomal recessive condition; therefore, if the client's sister has the disease, the client could be a carrier for the condition.
3. The risk for this client is becoming infected with HIV while attempting conception. This couple has no indication of a genetic condition.
4. Primary infertility is not likely to be caused by a genetic defect that could be carried by a sibling. This client has no indication of a genetic condition.
Answer to Question 2
2
Rationale:
1. The onset of hypoglycemia occurs at 13 hours after birth, and can continue for several days.
2. Newborns of diabetic mothers can require frequent feedings to maintain normal levels of blood glucose. Formula feedings contain protein, and will maintain blood sugar better than glucose water alone.
3. Blood glucose levels should be checked hourly during the first four hours and then at four-hour intervals until stable normal levels are attained.
4. Hyperthyroidism is not associated with newborns of diabetic mothers.