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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Choice A reason: Applying a warm, moist pack is not the most appropriate action as it may increase swelling and does not address the underlying cause of the edema.
Choice B reason: While it is important to report significant changes to the healthcare provider, mild edema post-surgery can be expected and managed with elevation.
Choice C reason: Elevating the legs on pillows can help reduce edema by promoting venous return and decreasing swelling.
Choice D reason: Encouraging movement of the toes is beneficial for circulation and preventing stiffness, but it is not the primary intervention for edema. Elevation is more effective in this scenario.
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