A young woman who is planning to start a family states that she had a retinoblastoma as a child. The woman and her husband are concerned about the chances of their son or daughter developing a retinoblastoma

It is important that the nurse inform the couple that:
A) It is an autosomal recessive inheritance in which each parent carries the gene mutation.
B) It is an X-linked inheritance and all males inherit an X chromosome from their mothers.
C) It is an autosomal dominant inheritance which has incomplete penetrance and can skip a generation.
D) It is a pattern that is more horizontal than vertical; relatives of a single generation tend to have the condition.


Ans: C
Feedback: Retinoblastoma is an autosomal dominant inheritance which has incomplete penetrance and the gene appears to skip a generation, thus leading to errors in interpreting family history and in genetic counseling. Autosomal recessive conditions have a pattern that is more horizontal than vertical; relatives of a single generation tend to have the condition. Genetic conditions inherited in an autosomal recessive pattern are frequently seen among particular ethnic groups and usually occur more often in children of parents who are related by blood, such as first cousins. X-linked conditions may be inherited in recessive or dominant patterns. In both, the gene mutation is located on the X chromosome.

Nursing

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