The nurse is discussing genetic referral with the parents of children being seen in the pediatric clinic. The child who would benefit from a genetic referral is the child whose family has a history of:

Question

1. Prominent epicanthal folds, resonant lungs, or absent tinnitus in Asian families.
2. Broad face, lower-extremity lichenification, or spider angiomas.
3. Normocephalic head, euthyroid, or five digits per extremity.
4. Cleft lip and/or cleft palate, diaphragmatic hernia, or cataract.

Answer 1

4
Rationale 1: The trait of prominent epicanthal folds is a cultural variation in Asian families. Resonant lungs and the absence of ringing in the ears are normal findings.
Rationale 2: A broad face is likely to be a family trait. Lichenification is thickening of the skin often due to chronic irritation. Spider angiomas are a common, benign skin lesion.
Rationale 3: A normocephalic head, euthyroid, and five digits per extremity are normal findings.
Rationale 4: Cleft lip and/or cleft palate, diaphragmatic hernia, or cataract may have a genetic basis, and the family may benefit from a genetic referral.
Global Rationale: