Which of the following is not a part of the nurse’s role in genetic counseling?

“Diagnose a fetus with a genetic disorder.”

“Provide emotional support for the client and family.”

“Identify at-risk families.”

“Collaborate with other providers and referral of care if needed.”

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Diagnosing a fetus with a genetic disorder is outside the scope of practice for nurses. This task requires specialized training and expertise in genetics and diagnostic procedures, typically held by physicians such as geneticists, maternal-fetal medicine specialists, or genetic counselors.

Nurses play a crucial role in genetic counseling, but their responsibilities focus on:

Educating patients about genetic risks and testing options.

Obtaining informed consent for genetic testing.

Coordinating genetic testing appointments and procedures.

Providing emotional support and counseling to patients and families.

Facilitating communication between patients, families, and other healthcare providers.

Advocating for patients' rights and needs.

Choice B rationale:

Providing emotional support is a core component of nursing care, including genetic counseling. Nurses are trained to provide empathetic and compassionate support to patients and families who are facing the challenges of genetic conditions. This includes:

Active listening and validation of feelings.

Assisting with coping mechanisms and stress management.

Connecting patients with support groups and resources.

Promoting resilience and hope.

Choice C rationale:

Identifying at-risk families is a vital role for nurses in genetic counseling. By recognizing families with a history of genetic disorders or those who exhibit risk factors, nurses can initiate early intervention and preventive measures. This includes:

Taking a thorough family history.

Assessing risk factors and potential genetic concerns.

Educating families about their potential risks.

Referring families for genetic counseling and testing as appropriate.

Choice D rationale:

Collaboration with other healthcare providers and referral for specialized care are essential aspects of genetic counseling. Nurses often work within interdisciplinary teams to provide comprehensive care for patients with genetic concerns. This includes:

Communicating with geneticists, genetic counselors, and other specialists.

Coordinating referrals for genetic testing, counseling, and treatment.

Ensuring continuity of care across different healthcare settings.

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Correct Answer is A

Explanation

Choice A rationale:

Epicanthal folds: These are skin folds that cover the inner corners of the eyes. They are a common characteristic of Trisomy 21, also known as Down syndrome.

Heart murmur: A heart murmur is an abnormal sound heard during a heartbeat. It can be caused by a variety of conditions, including Trisomy 21. Approximately half of babies with Down syndrome have a heart defect.

Low-set ears: This means that the ears are positioned lower on the head than usual. This is another common characteristic of Trisomy 21.

Poor muscle tone: This means that the muscles are weak and floppy. This is also a common characteristic of Trisomy 21.

Choice B rationale:

Cystic fibrosis: This is a genetic disorder that affects the lungs and digestive system. It is not typically associated with the physical features observed in this newborn. Newborns with cystic fibrosis typically present with meconium ileus, failure to thrive, and recurrent respiratory infections.

Choice C rationale:

Tay-Sachs disease: This is a rare genetic disorder that affects the nervous system. It is not typically associated with the physical features observed in this newborn. Infants with Tay-Sachs disease typically appear normal at birth, with symptoms developing around 6 months of age. These symptoms can include developmental delays, muscle weakness, seizures, and blindness.

Choice D rationale:

Marfan syndrome: This is a genetic disorder that affects the connective tissue. It is not typically associated with the physical features observed in this newborn. Individuals with Marfan syndrome typically have tall stature, long limbs, and hypermobile joints. They may also have eye problems, such as lens dislocation, and heart problems, such as aortic aneurysm.

A. “You won’t be able to eat, and this provides nutrition to you and the baby during childbirth.” B. “Don’t worry about the IV, I have placed many IVs before.” C. “The IV is in place to give the medication for relaxation before the epidural is placed.” D. “The IV bolus will help to minimize the side effects of the epidural.”

Correct Answer is C

Explanation

Choice A rationale:

It is true that a laboring client may not be able to eat, but this is not the primary reason for starting an IV. The client can receive fluids and electrolytes through the IV to maintain hydration and energy levels.

However, this response does not directly address the client's question about why the IV is necessary for the epidural.

It's important to provide a clear and accurate explanation to help the client understand the purpose of the intervention.

Choice B rationale:

This response is dismissive of the client's concerns and does not provide any information about why the IV is necessary.

It's important to acknowledge the client's concerns and provide them with the information they need to make informed decisions about their care.

Choice C rationale:

This is the correct response. The IV is necessary to administer medication for relaxation before the epidural is placed.

The epidural is a regional anesthetic that blocks pain signals from the lower body.

The medication for relaxation helps to reduce anxiety and discomfort, which can make it easier to place the epidural.

It also helps to prevent the client from moving during the procedure, which could lead to complications.

Choice D rationale:

This response is not accurate. An IV bolus is not typically given to minimize the side effects of the epidural.

Side effects of the epidural, such as hypotension and nausea, are usually managed with other medications.

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Which of the following is not a part of the nurse’s role in genetic counseling?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a newborn after delivery and observes the following: epicanthal folds, heart murmur, low-set ears, and poor muscle tone. What does the nurse suspect?

Correct Answer is A

Explanation

The nurse is caring for a laboring client who is requesting an epidural. As the nurse prepares to start an IV, the client asks why it is necessary. What would be the nurse’s best response?

Correct Answer is C

Explanation

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