A pregnant couple at 14 weeks gestation has just been told that they both are carriers of an autosomal-recessive disorder.
The nurse who is providing genetic counseling should take which of the following actions?

Tell the couple that they need to have an abortion within 2 to 3 weeks.

Discuss options with the couple including amniocentesis to determine if their fetus is affected.

Refer the couple to a psychologist for emotional support.

Explain that there is a 50% chance their baby will have the disorder.

Answer and Explanation

The Correct Answer is B

Choice B rationale

When a couple is found to be carriers of an autosomal-recessive disorder, one of the actions the nurse can take is to discuss options with the couple, including amniocentesis to determine if their fetus is affected. This procedure can provide definitive information about the genetic status of the fetus, allowing the couple to make informed decisions about the pregnancy.

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Correct Answer is C

Explanation

Choice A rationale

Decreased follicle-stimulating hormone is not the major cause of the onset of menopause and the resulting atrophy of the vulvar organs. The major cause is decreased estrogen.

Choice B rationale

Increased levels of prostaglandin are not the major cause of the onset of menopause and the resulting atrophy of the vulvar organs. The major cause is decreased estrogen.

Choice C rationale

Decreased estrogen is the major cause of the onset of menopause and the resulting atrophy of the vulvar organs. During perimenopause, less estrogen may cause the tissues of the vulva and the lining of the vagina to become thinner, drier, and less elastic or flexible.

Choice D rationale

Increased luteinizing hormone is not the major cause of the onset of menopause and the resulting atrophy of the vulvar organs. The major cause is decreased estrogen.

A. If the client is comfortable, they are more likely to continue to seek treatment. B. Without culturally competent care, the client might pay more out of pocket for treatment. C. Receiving culturally competent care can reduce the chance that the client will need psychotropic medications. D. Providing culturally competent care can reduce the client’s feelings that they are risking relationships and jobs by seeking care.

Correct Answer is A

Explanation

Choice A rationale

If a client is comfortable with the care they receive, they are indeed more likely to continue to seek treatment. Cultural competence in healthcare can help ensure that all patients, including those from underrepresented cultures, feel comfortable and understood. This can lead to increased patient engagement and better health outcomes.

Choice B rationale

While it’s true that without culturally competent care, a client might face financial barriers to treatment, it’s not a direct benefit of culturally competent care. The main benefits of culturally competent care are improved patient satisfaction, better health outcomes, and increased patient safety.

Choice C rationale

While receiving culturally competent care can have many benefits, reducing the chance that the client will need psychotropic medications is not directly related to cultural competence. The need for such medications is determined by a client’s specific health needs.

Choice D rationale

Providing culturally competent care can indeed help reduce a client’s fear of risking relationships and jobs by seeking care. By respecting and understanding a client’s cultural background, healthcare providers can help alleviate fears and misconceptions about seeking care. PregnancyPregnancy Explore

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A pregnant couple at 14 weeks gestation has just been told that they both are carriers of an autosomal-recessive disorder.The nurse who is providing genetic counseling should take which of the following actions?

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Naxlex Comprehensive Predictor Exams

The nurse is educating a female client about the onset of menopause and the resulting atrophy of the vulvar organs.The nurse should recognize that the major cause for these symptoms is related to which of the following?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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A pregnant couple at 14 weeks gestation has just been told that they both are carriers of an autosomal-recessive disorder.
The nurse who is providing genetic counseling should take which of the following actions?