Author Question: A family with a child who had a cleft lip and palate at birth are planning another pregnancy. What ... (Read 14 times)

panfilo · **on:** Jun 28, 2018

A family with a child who had a cleft lip and palate at birth are planning another pregnancy. What intervention should be recommended prior to conception?

1. A genetic family history
2. A family pedigree
3. A genetic physical assessment
4. A maternal health history

Question 2

When discussing inheritance with parents of a child with a genetic disorder, which statement by the parents indicates they understand inheritance risk?

1. This child has a genetic disorder, so future children will not have it.
2. Each pregnancy carries the same percent risk of inheritance.
3. I cannot have any more children, because they will all have the disorder.
4. There is a good chance future children will be normal.

owenfalvey · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 1
Rationale: A genetic family history is recommended when there is history of a congenital anomaly, such as cleft lip and palate. A pedigree is a more comprehensive family history, and could follow a genetic family history if needed. The previous anomaly is already known, so a genetic history would be recommended over a genetic physical assessment. A maternal health history is not comprehensive enough for this case.

Answer to Question 2

Correct Answer: 2
Rationale: Each pregnancy carries the same percent risk of having a child with the disorder in question. The other statements indicate the need for further education regarding inheritance risk.