A young married couple asks the nurse at a community outreach clinic for guidance about having children because the wife was born with a cleft lip and palate, and the husband has an uncle with a cleft lip. Which action should the nurse take?
Inform the couple that this is not an inherited disorder.
Tell the couple to discuss this issue with the obstetrician.
Encourage the couple to consider adopting a baby.
Refer the couple to a genetic counselor or geneticist.
The Correct Answer is D
A. Inform the couple that this is not an inherited disorder: Cleft lip and palate can have a genetic component, so telling the couple it is not inherited would be misleading. While environmental factors can also contribute, the genetic link should not be dismissed.
B. Tell the couple to discuss this issue with the obstetrician: While the obstetrician can provide guidance, a genetic counselor or geneticist is more specialized in addressing hereditary concerns and can offer more precise advice on the potential risks and genetic implications.
C. Encourage the couple to consider adopting a baby: While adoption is a valid option for many, it is not the most appropriate response to the couple's concern about the potential genetic risk of cleft lip and palate. This decision should be informed by genetic counseling.
D. Refer the couple to a genetic counselor or geneticist: A genetic counselor can assess the family history and provide the couple with accurate information on the risks of having a child with a cleft lip and palate, helping them make an informed decision based on genetic factors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Confer with the healthcare provider about a different course of antibiotics: While this may be necessary if treatment failure is confirmed, the first step is to evaluate whether the sexual partner was treated, as reinfection is common if the partner was not also treated.
B. Determine if the client's sexual partner received treatment for chlamydia: It is critical to ensure that the sexual partner has been treated for chlamydia as well. If the partner has not been treated, the client could have been reinfected, leading to ongoing symptoms despite completing the antibiotic regimen.
C. Inquire further about all sexual encounters and any other sexual activity: While understanding sexual history is important, the client explicitly stated she is maintaining a "monogamous relationship." the primary focus should be on ensuring that the partner was treated.
D. Ask the client if the complete course of antibiotics was completed: The client was treated with "azithromycin IM." Azithromycin for chlamydia is typically a single dose. The reinfection is more likely from an untreated partner, causing of the persistent symptoms.
Correct Answer is B
Explanation
A. Artificial rupture of the membranes: While artificial rupture of membranes may be done in some situations, it is not an immediate treatment for a GBS-positive client. The priority is to reduce the risk of infection, which is best achieved with antibiotics.
B. Administration of antibiotics: The most important and immediate treatment for a GBS-positive laboring client is administration of antibiotics, usually penicillin or ampicillin, to reduce the risk of transmitting the infection to the baby during delivery. This is typically given during labor.
C. Amnioinfusion for the baby: Amnioinfusion is a procedure used to relieve umbilical cord compression or meconium aspiration, but it is not indicated for managing GBS infection. Antibiotics are the primary treatment to prevent neonatal infection.
D. Administration of oxytocin: Oxytocin is used to stimulate labor but is not the immediate priority for a GBS-positive client. The focus should be on preventing infection through antibiotic administration, not on initiating or enhancing labor.
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