RICCI CHAPTER 10 - TEST BANK - 4TH EDITION
QUESTIONS AND RIGHT ANSWERS .
1., The, nurse, is, teaching, a, couple, about, the, pros, and, cons, of, genetic, testing., Which, statement, by
the, nurse, best, describes, the, limits, of, genetic, testing?
A., "Various, genetic, tests, help, the, primary, care, provider, choose, appropriate, treatments."
B., "Genetic, testing, helps, couples, avoid, having, children, with, fatal, diseases."
C., "Genetic, tests, identify, people, at, high, risk, for, preventable, conditions."
D., "Some, genetic, tests, can, give, a, probability, for, developing, a, disorder.", , ANS, -, , Answer:, D
Rationale:, The, fact, that, some, tests, only, provide, a, probability, for, developing, a, disorder, raises, a
problem., A, serious, limitation, of, these, susceptibility, tests, is, that, some, people, who, carry, a
disease-associated, mutation, never, develop, the, disease., Choosing, appropriate, treatments,
avoiding, having, children, with, fatal, diseases,, and, identifying, those, at, high, risk, affirm, the, value, of
genetic, tests.
., The, nurse, is, counseling, a, couple, who, suspect, that, they, could, bear, a, child, with, a, genetic
abnormality., What, would, be, most, important, for, the, nurse, to, do, when, working, with, this, family?
A., Gather, information, for, three, generations.
B., Inform, the, family, of, the, need, for, information.
C., Maintain, the, confidentiality, of, the, information.
D., Present, the, information, in, a, factual,, nondirective, manner., , ANS, -, , Answer:, D
Rationale:, It, is, essential, to, respect, client, autonomy, and, present, information, in, a, factual,
nondirective, manner., In, these, situations,, the, nurse, needs, to, understand, that, the, choice, is, the
couple's, to, make., Gathering, information, for, three, generations, obtains, a, broad, overview, of, what
has, been, seen, in, both, sides, of, the, family., Maintaining, confidentiality, of, the, information, is, as
important, as, with, any, other, client, information, gathered., Informing, the, family, of, the, need, for
information, is, necessary, because, of, its, personal, nature.
3., The, nurse, is, teaching, a, couple, about, X-linked, disorders, because, they, are, concerned, that, they
, might, pass, on, hemophilia, to, their, children., Which, response, indicates, the, need, for, further
teaching?
A., "The, father, can't, be, a, carrier, if, he, doesn't, have, hemophilia."
B., "If, the, father, doesn't, have, it,, then, his, kids, won't, either."
C., "If, the, mother, is, a, carrier,, her, daughter, could, be, one, too."
D., "If, the, mother, is, a, carrier,, her, sons, will, have, hemophilia.", , ANS, -, , Answer:, B
Rationale:, Males, are, more, affected, than, females., A, male, has, only, one, X, chromosome,, and, all
the, genes, on, his, X, chromosome, will, be, expressed, whereas, a, female, will, usually, need, both, X
chromosomes, to, carry, the, disease., There, is, no, male-to-male, transmission, (since, no, X
chromosome, from, the, male, is, transmitted, to, male, offspring),, but, any, man, who, is, affected, will
have, carrier, daughters., If, a, woman, is, a, carrier,, there, is, a, 50%, chance, that, her, sons, will, be
affected, and, a, 50%, chance, that, her, daughters, will, be, carriers.
4., A, pregnant, woman, undergoes, a, triple, screen, at, 16, to, 18, weeks', gestation., What, would, the
nurse, suspect, if, the, woman's, estriol, and, alpha-fetoprotein, levels, are, decreased, with, high, hCG
levels?
A., Down, syndrome
B., sickle-cell, anemia
C., cardiac, defects
D., respiratory, disorders, , ANS, -, , Answer:, A
Rationale:, Decreased, levels, might, indicate, Down, syndrome, or, trisomy, 18., Sickle, cell, anemia
may, be, identified, by, chorionic, villus, sampling., Levels, would, be, increased, with, cardiac, defects,
such, as, tetralogy, of, Fallot., It, does, not, detect, respiratory, disorders.
5., The, nurse, is, conducting, a, presentation, for, a, young, adult, community, group, about, fetal
development, and, pregnancy., The, nurse, determines, that, the, teaching, was, successful, when, the
group, identifies, that, the, sex, of, offspring, is, determined, at, which, time?
A., during, meiosis, cell, division
B., at, fertilization