A perinatal nurse is providing care for a primiparous woman who gave birth to a healthy infant yesterday. The nurse explains to the patient the genetic screening that is mandated. What is the nurse's best rationale for this?
A) "Genetic screening is a way to determine the rate of infectious disease in babies during this vulnerable time in their lives."
B) "It is important to screen newborns to determine their future cancer risk and appraise the quality of prenatal care they received."
C) "This is a way to assess your infant's risk for illnesses called phenylketonuria (PKU), congenital hypothyroidism, and galactosemia."
D) "This testing is required and you will not be able to refuse it. It usually is free so there is no reason to refuse it."
Ans: C
Feedback:
The first aim of genetic testing is to improve management, that is, identify people with treatable genetic conditions that could prove dangerous to their health if left untreated. The other answers are incorrect because genetic testing does not determine the rate of infectious disease. The nurse should not discourage refusal without describing the rationale.
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