A family with a child who had a cleft lip and palate at birth are planning another pregnancy. What intervention should be recommended prior to conception?
1. A genetic family history
2. A family pedigree
3. A genetic physical assessment
4. A maternal health history
Correct Answer: 1
Rationale: A genetic family history is recommended when there is history of a congenital anomaly, such as cleft lip and palate. A pedigree is a more comprehensive family history, and could follow a genetic family history if needed. The previous anomaly is already known, so a genetic history would be recommended over a genetic physical assessment. A maternal health history is not comprehensive enough for this case.
You might also like to view...
The nurse is teaching a class about common upper respiratory infections to parents of preschoolers. The parents correctly respond that which are examples of upper respiratory infections? (Select all that apply.)
A) Bronchitis B) Asthma C) Pharyngitis D) Sinusitis E) Laryngitis
The nurse taking care of a client in the clinic notes that the client comes in twice per week, but never seems to have anything majorly wrong. Which is a benefit of providing education about self-care to this client?
A) The client's perception of need will change, promoting appropriate and timely health care. B) The client will continue to come to the clinic seeking help until someone helps the client. C) The client will seek affordable insurance by which to gain appropriate health care. D) The client will learn to seek healthcare services from legitimate sources.
Which nursing action is most appropriate to assist a preschool-age child in coping with the emergency department experience?
a. Explain procedures and give the child at least 1 hour to prepare. b. Remind the child that she is a big girl. c. Avoid the use of bandages. d. Use positive terms and avoid terms such as "shot" and "cut."
Extended use combined oral contraceptives (COCs) reduce the side effects of COCs such as which of the following?
1. Cramping 2. Hypertension 3. Breast tenderness 4. Bloating