Mod 3 ATI Test- Genetics and Genomics in Maternal Newborn Care

A nurse is collecting data for an infant who was born 10 mins ago. Which of the following clinical findings should lead the nurse to suspect the newborn has Trisomy 21?

-Shorter neck

-Protruding tongue

-Single palmar crease

-Wide-set eyes

A client who is pregnant and is scheduled for alpha-fetoprotein (AFP) testing asks the nurse, "What makes this test different from the quad screen?" Which of the following responses should the nurse make?

AFP testing examines your age and ethnicity when predicting the likelihood of anomaly

A nurse has completed the health history of a client who is pregnant. The client and their partner both reported having sickle cell trait. How should the nurse explain the risk of their baby having sickle cell disease?

"There is a chance your baby will have sickle cell disease since you both carry the trait."

A nurse in an obstetric clinic is preparing charts for clients who will be seen today. Which of the following clients should the nurse expect the provider to refer for genetic counseling?

-A 28 year old client who has experienced two spontaneous abortions

-A 34 year old client who is taking fertility medications

-A 39 year old client who is pregnant for the first time

-A 16 year old client whose twin has Trisomy 21

After receiving the news that a client and their partner both carry the gene for a specific medical condition, the nurse should anticipate that the provider will explain which of the following options to the couple?

-Proceed with pregnancy

-Consider in vitro fertilization

-Consider donor eggs or sperm

-Do not proceed with a pregnancy

A nurse is scheduling a referral appointment for a client. The client asks, "Why do i need to see someone else?" Which of the following responses should the nurse make?

-A genetic counselor will be able to support and guide you through the journey of genetic testing.

-A genetic counselor can help with family planning before you get pregnant

-The genetic counselor will help provide you with information about making decisions, understanding results, and choosing treatment options if indicated

-A genetic counselor can help you better understand results of any genetic testing you choose to do

After being scheduled to see a genetic counselor, a client asks the nurse, " What resources can I expect the genetics counselor to offer?" Which of the following resources should the nurse include in the repsonse?

-Emotional support options

-Support groups in the clients community

-Treatment options

A nurse is collecting a new clients history. Which of the following findings should the nurse identify as contributing to the multifactorial inheritance of a genetic condition?

-Nutritional status

-Physical activity

-Chemical exposure

A nurse is assisting in the care of a client during the first trimester of pregnancy when the client asks, "What is so important about these genetic tests when the baby is not even born yet?" Which of the following responses should the nurse make?

Accurate identification of chromosomal anomalies helps to promote the best pregnancy outcomes

A nurse is assisting in the care of a client during a preconception counseling visit. The client reports to the nurse, " I had cancer when I was a child, so I am worried about having children and giving them cancer." Which of the following responses should the nurse make?

"Cancer cannot be inherited by a child from a parent."

A nurse is reinforcing education with a client who is at 8 weeks of gestation about a quad screen. Which of the following statements by the client demonstrates understanding of the teaching?

"If your test results are positive, you will be scheduled for diagnostic testing and referred to a high-risk provider."

After the provider has discussed genetic testing options with a client, the client asks the nurse, "What is the difference between a quad screen and an amniocentesis?" Which of the following responses should the nurse make?

-"A diagnosis cannot be made with a quad screen alone, but one can be with an amniocentesis."

-"The quad screen is a blood draw and not considered harmful whereas the amniocentesis is invasive and poses a risk of pregnancy loss."

-"Both can be performed in the second trimester."

-"An amniocentesis is a potential diagnostic test that can be performed if the quad screen is positive."

A nurse is reinforcing teaching for a client following an initial prenatal visit. The client states, " I read online that I can have a test to know if anything is wrong with my baby, but I don't understand the difference between a screening test and a diagnostic test." How should the nurse respond?

Screenings indicate the likelihood of disease and diagnostic tests confirm if disease is present.

A pediatric clinic nurse is reinforcing education on positive newborn screening results. Which of the following statements by the client indicates the need for further education?

"This means my child will have a disease."

A nurse in a prenatal clinic is contributing to the plan of care for a 36 year old client who is at 12 weeks of gestation. Which of the following tests should the nurse anticipate being offered to the client at today's prenatal visit?

-Cell-free DNA testing

-Nuchal translucency (NT)

-Chorionic villus sampling (CVS)