The nurse is reviewing an obstetric client's history and physical assessment. Which finding is most likely to alert the nurse to the possibility of a genetic disorder in the infant?
1. Family history of genetic disorders
2. Infant's large size for gestational age
3. Low serum glucose in mother on initial screening
4. History of smoking in mother and father
1
Rationale 1: Of all the diagnostic tools used by health care providers, the family history is most indicative of a potential genetic disorder.
Rationale 2: Being large for gestational age may be associated with any number of diseases that are not genetic in nature.
Rationale 3: Low serum glucose is a common finding and would not alert the nurse to a possible genetic disorder.
Rationale 4: Smoking during pregnancy may adversely affect the fetus but is unlikely to cause genetic disorders.
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