With regard to lab tests and diagnostic tests in the hospital after birth, nurses should be aware that
a. All states test for phenylketonuria (PKU), hypothyroidism, cystic fibrosis, and
sickle cell diseases.
b. Federal law prohibits newborn genetic testing without parental consent.
c. If genetic screening is done before the infant is 24 hours old, it should be repeated
at age 1 to 2 weeks.
d. Hearing screening is now mandated by federal law.
C
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A States all test for PKU and hypothyroidism, but other genetic defects are not
universally covered.
B Federal law mandates newborn genetic screening; however, parents can decline
testing. A waiver should be signed and a notation made in the infant's medical
record.
C If testing is done prior to 24 hours of age, genetic screening should be repeated
when the infant is 1 to 2 weeks old.
D Federal law does not mandate screening for hearing problems; however, the
majority of states have enacted legislation mandating newborn hearing screening.
In the U.S. the majority (95%) of infants are screened for hearing loss prior to
discharge from the hospital.
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