A child is being considered as a donor for a kidney transplant. Which of the following areas must be evaluated before any genetic testing is ordered on a child?
a. the urgency of the need for the donated organ
b. the possibility the mother has withheld the fact that the children have different fathers
c. the parents' religious beliefs and the doctrine of the church regarding organ donation
d. the best interests of the child who would undergo the testing
D
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A Incorrect. Urgency is important, but before testing of any kind is ordered for a child, other issues have a higher priority.
B Incorrect. Genetic testing is not contraindicated because of questions of paternity.
C Incorrect. Sensitivity to the parents' religious beliefs and church doctrine is required, but has no effect on a decision to pursue genetic testing.
D Correct. Always, the best interests of the child should be evaluated before any genetic testing is ordered. Counseling should be provided. Informed consent should be obtained when possible before proceeding.
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