A nurse is following up with a client at 12 weeks gestation who was seen for genetic counseling but decided not to proceed with genetic testing or any further genetic counseling.
Which of the following actions should the nurse take?
Respect the client's right to decline genetic testing.
Call the client and attempt to schedule another appointment.
Offer the client an appointment with a different genetic counselor.
Plan to perform genetic testing at the client's next prenatal visit.
The Correct Answer is A
Choice A rationale
Respecting the client's decision to decline genetic testing upholds their autonomy and right to make informed decisions about their own healthcare.
Choice B rationale
Persistently attempting to schedule another appointment could be seen as pressuring the client, which may not be respectful of their initial decision.
Choice C rationale
Offering an appointment with a different genetic counselor may imply that the client's decision was not respected or understood, which can be perceived as dismissive.
Choice D rationale
Planning to perform genetic testing without the client's consent disregards their autonomy and the importance of informed consent in healthcare decisions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Recessive disorders do not manifest in every subsequent generation. They appear only when an individual inherits two copies of the recessive gene, one from each parent, making them less frequent in the population.
Choice B rationale
Single gene disorders are not collectively prevalent; they are relatively rare. They are caused by mutations in a single gene and are not always detectable without specific genetic testing.
Choice C rationale
Genetic disorders are not always passed down from one's biological predecessors. Some genetic disorders arise from new mutations that occur during the formation of eggs or sperm, or early in embryonic development.
Choice D rationale
Single gene disorders can indeed be traced through genetic lineage. By analyzing family histories and genetic testing, these disorders can often be identified and tracked across generations.
Correct Answer is B
Explanation
Choice A rationale
Placing a newborn on the parent's stomach and covering with a warm blanket helps to regulate body temperature through skin-to-skin contact, which is essential for newborns, especially shortly after birth.
Choice B rationale
Rectal temperature checks are not recommended for newborns due to the risk of rectal perforation. Newborn temperatures are typically monitored using axillary (underarm) methods.
Choice C rationale
Keeping a newborn’s head covered helps to prevent heat loss, as a significant amount of body heat can be lost through the head. This practice is crucial in maintaining the newborn's body temperature.
Choice D rationale
Newborns should be kept away from drafts, including fans and air conditioning vents, to prevent them from becoming too cold. Keeping the bassinet away from these can help maintain a stable temperature.
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