Which response by the nurse is the most appropriate when parents of a client recently diagnosed with Down syndrome express guilt about causing the condition?

"Down syndrome is a condition caused by an extra chromosome; the cause of it is unknown."

"Down syndrome is a condition that is carried on the X chromosome, so it came from the mother."

"Down syndrome is caused by birth trauma, not by genetics."

"Down syndrome is a condition that is genetically transmitted from both the father and the mother."

Answer and Explanation

The Correct Answer is A

Choice A reason: This response is the most appropriate as it correctly identifies Down syndrome as a genetic condition caused by an extra chromosome and acknowledges that the exact cause of the chromosomal abnormality is unknown.

Choice B reason: This choice is incorrect because Down syndrome is not carried on the X chromosome nor is it inherited from the mother alone.

Choice C reason: This statement is false; Down syndrome is not caused by birth trauma but is a genetic disorder.

Choice D reason: This choice is misleading; while genetics play a role in Down syndrome, it is not typically inherited from both parents in the way this choice suggests.

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Correct Answer is A

Explanation

Choice A reason: This is the correct choice. Hypopituitarism often results in short stature due to a deficiency in growth hormone.
Choice B reason: Precocious puberty is not typically associated with hypopituitarism; it is more often related to excess hormone production.
Choice C reason: Progressive linear growth retardation after normal growth in the first five years is not characteristic of hypopituitarism.
Choice D reason: While stunted growth can occur, hypopituitarism specifically affects height due to growth hormone deficiency, and weight may not be equally affected.

A. "The baby's 18-month-old brother was trying to pull the baby out of the crib and dropped the baby on the floor." B. "I placed the baby in the infant swing. His 6-year-old brother was running through the house and tripped over the swing, causing it to fall." C. "I was walking up the steps and slipped on the ice, falling while carrying my baby." D. "I did not realize that my baby was able to roll over yet, and I was just gone a minute to check on dinner when the baby rolled off of the couch and onto our tile floor."

Correct Answer is D

Explanation

Choice A reason: This choice might not arouse suspicion as it could be a plausible accident involving siblings.

Choice B reason: This choice also might not arouse suspicion as accidents can happen when children are playing and not being watched closely.

Choice C reason: This choice is less likely to arouse suspicion as slipping on ice is a common accident.

Choice D reason: This is the correct choice. The statement may arouse suspicion because it suggests negligence, as the caregiver left the baby unattended in a potentially dangerous situation.

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Which response by the nurse is the most appropriate when parents of a client recently diagnosed with Down syndrome express guilt about causing the condition?

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Naxlex Comprehensive Predictor Exams

Which of the following best describes hypopituitarism?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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