A child is diagnosed with sickle cell disease. The parents are unsure how their child contracted the disease. Which explanation by the nurse is the most appropriate?
"The father has the trait, but the mother doesn’t."
"The mother has the trait, but the father doesn’t."
"Both the mother and the father have the sickle cell trait."
"The mother has sickle cell disease, but the father doesn't have the disease or the trait."
The Correct Answer is C
Choice A reason: This option is incorrect because sickle cell disease is an inherited condition, and one parent having the trait is not sufficient for a child to have the disease.
Choice B reason: This option is also incorrect for the same reason as choice A; both parents must carry the trait for the child to have a chance of inheriting the disease.
Choice C reason: This is the correct choice. Sickle cell disease is inherited when both parents carry the sickle cell trait, giving their child a 25% chance of having the disease.
Choice D reason: This option is incorrect because if only one parent has sickle cell disease and the other has neither the disease nor the trait, the child cannot have sickle cell disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Not crying if parents return and leave again may indicate the child has moved past the initial protest stage but does not necessarily indicate despair.
Choice B reason: This is the correct choice. Lying quietly in bed can be a sign of the despair stage, where the child has given up hope of the parents' return and appears withdrawn.
Choice C reason: Screaming and crying when parents leave is characteristic of the protest stage, not the despair stage.
Choice D reason: Appearing happy and content with staff may indicate the child has reached the detachment stage, which follows despair and involves the child forming new attachments.
Correct Answer is B
Explanation
Choice A reason: Clubbed fingers are a sign of chronic hypoxia and may be seen in older children with cystic fibrosis, but they are not typically present at birth.
Choice B reason: This is the correct choice. Meconium ileus is a blockage of the intestines that occurs shortly after birth and is often the first sign of cystic fibrosis.
Choice C reason: A barrel chest is associated with chronic respiratory conditions and would not be present in a newborn.
Choice D reason: Steatorrheic stools, or fatty stools, may occur in cystic fibrosis but are not a primary indicator in a newborn.
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