ECU NURS 3340 Peds Questions with Complete solutions
Parents of a newborn are confused when their child is diagnosed with a genetic disorder because neither of them has a defect. Testing is done and it is determined that both parents are carriers of the disorder even though they are asymptomatic. Understanding the principles of the Mendelian Pattern of Inheritance, the nurse determines what condition is
the likely reason for this genetic disorder? A. X-linked dominant condition B. Autosomal dominant condition C. X-linked recessive condition D. Autosomal recessive condition Correct Answer-D
If a disorder is _______________ , it means the affected person only needs to get the abnormal gene from one parent to inherit the disease. One of the parents has to have the disorder. These disorders involve altered genes on autosomes rather than the sex chromosomes X and Y. Both males and females have an equal chance of being affected. There is
a 50% chance of an affected child. A. Autosomal dominant B. Autosomal recessive C. X-linked recessive D. Multifactorial Correct Answer-A
What types of disorders are abnormalities that result from an abnormal sex chromosome? A. Autosomal dominant B. Autosomal recessive C. Multifactorial D. X-linked Correct Answer-D
Huntington's disease, neurofibromatosis-1, achondroplasia, and Marfan syndrome are examples of genetic conditions transmitted by which pattern of inheritance? A. Autosomal dominant B. Autosomal recessive C. X-linked recessive D. Multifactorial Correct Answer-A
Beta-thalassemia, cystic fibrosis, Guacher disease, phenylketonuria, sickle cell disease, and Tay-Sachs disease are examples of genetic conditions transmitted by which pattern of inheritance? A. Autosomal dominant B. Autosomal recessive C. X-linked recessive D. Multifactorial Correct Answer-B
A client and her husband are positive for the sickle cell trait. The client asks the nurse about chances of her children having sickle cell disease. Which of the following is an appropriate response by the nurse? A. one of her children will have sickle cell disease B. only the male children will be affected C. each pregnancy carries a 25% chance of the child being affected D. if she had four children, one of them would have the disease Correct Answer-C
Which of the following are accurate statements concerning multifactorial inheritance? (Select all that apply) A. Most common genetic malfunction. B. Fathers do not pass these disorders to their daughters or sons. C. Combination of environmental and genetic factors. D. Often occurs in people with no history of the disorder in their family. E. Examples are cleft palate and neural tube defects. F. Examples are Duchenne muscular dystrophy and hemophilia-A. G. These disorders do not have a clear-cut pattern of inheritance. H. These conditions tend to run in families. Correct Answer-ACEGH
Which of the following hereditary disorders is transmitted by autosomal recessive inheritance? A. Cleft lip B. Marfan syndrome C. Osteogenesis imperfecta D. Phenylketonuria Correct Answer-D Applications of the principle of atraumatic care in the pediatric setting include which of the following? (Select all that apply) A. Use of "white lies" to minimize stress B. Encouraging the family to room in with child C. Identifying child/ family stressors D. Effectively managing pain E. Working independently of the parents Correct Answer-BCD
Which of the following does NOT demonstrate atraumatic care for the hospitalized child? A. Use numbing medication (EMLA cream) on the skin before venipuncture. B. Restrain the child, holding him down firmly during procedures to prevent injury. C. Avoid use of irritating chemicals (such as alcohol) on the skin. D. Never use needles and instruments which cause unnecessary pain. Correct Answer-B
Which of the following is the best example of appropriate communication with a young child in the hospital setting? A. "I'm going to take your pulse now." B. "I'm going to give you a little stick in the arm." C. "I'm going to count how fast your heart beats." D. "I will give you a shot in the arm." E. "This will hurt or burn." Correct Answer-C
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