The nurse is counseling a couple who suspect that they could bear a child with a genetic abnormality.
What would be most important for the nurse to do when working with this family?.
Inform the family of the need for information.
Present the information in a factual, nondirective manner.
Maintain the confidentiality of the information.
Gather information for three generations.
Gather information for three generations.
The Correct Answer is B
Choice A rationale:
Informing the family of the need for information is important, but it is not the most important aspect when working with a family who suspects they could bear a child with a genetic abnormality.
Choice B rationale:
Presenting the information in a factual, nondirective manner is the most important aspect. This allows the family to make informed decisions based on accurate information without being influenced by the nurse’s personal beliefs or opinions.
Choice C rationale:
Maintaining the confidentiality of the information is a standard nursing practice and while it is important, it is not the most important aspect in this scenario.
Choice D rationale:
Gathering information for three generations can provide valuable insight into the family’s genetic history, but it is not the most important aspect in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Notifying the primary care provider is important but not the immediate next step. The nurse has other immediate responsibilities to ensure the safety of the mother and baby.
Choice B rationale:
A vaginal exam could introduce bacteria into the uterus and is not the immediate next step after rupture of membranes.
Choice C rationale:
Changing the linen saver pad is not the immediate next step. While it might be necessary for the comfort of the mother, it does not address the potential risks associated with rupture of membranes.
Choice D rationale:
Checking the fetal heart rate is the correct next step. This ensures that the baby is not in distress following the rupture of membranes.
Correct Answer is D
Explanation
Choice A rationale:
Checking for a compressed umbilical cord is important as it can cause fetal distress. However, it’s not the first step in response to abnormal EFM tracing.
Choice B rationale:
Preparing for an emergency cesarean birth might be necessary if the abnormality persists and indicates fetal distress. But it’s not the immediate first step.
Choice C rationale:
Documenting the finding is part of the nursing process, but immediate interventions to address the abnormality take precedence.
Choice D rationale:
Helping the woman change positions can relieve pressure on the umbilical cord, potentially resolving the abnormality. This is often the first intervention.
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