The nurse is beginning an assessment to determine a couple's chances of having offspring with genetic anomalies. What should the nurse include in this assessment? (Select all that apply.)
A) Age of the female member of the couple
B) Diseases in the family that span three generations
C) Ethnic background of both members of the couple
D) Minimal expression of a previously undiagnosed disorder
E) Employment status of the male member of the couple
A, B, C, D
Feedback:
When conducting a health history assessment in anticipation of genetic counseling, the nurse will assess the age of the female member of the couple because some genetic anomalies are more common in older female patients. The nurse will also assess the couple for diseases that span three generations in both of the families and will assess the couple's individual ethnic backgrounds. Physical assessment can identify minimal expression of a disorder that has gone previously undiagnosed. Employment status is not typically a part of the health history in preparation for genetic counseling.
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