The parents of a child with cystic fibrosis are attending genetic counseling. After their initial visit, they ask the nurse what will happen next. How should the nurse respond?
1. "Your genetic counseling is a medical matter that can only be discussed with your physician."
2. "You will have one more appointment with your genetic counselor and that will conclude your genetic counseling."
3. "You will receive a letter from your primary care physician that explains the results of your genetic counseling session."
4. "You will have a follow-up visit with your genetic counselor and you will receive additional information at that time."
Correct Answer: 4
Rationale 1: The nurse should act as a liaison between the family and genetic counselor.
Rationale 2: After a follow-up visit, the family may return to the genetic counselor to ask questions and express concerns, especially if the couple is considering having more children, or if siblings want information about their affected brother or sister.
Rationale 3: Upon completion of genetic counseling, the genetic counselor sends the parent(s) and their certified nurse–midwife or physician a letter detailing the contents of the sessions.
Rationale 4: After the initial genetic counseling session, a follow-up visit is scheduled in order for the genetic counselor to provide the parents with all available information and offer additional counseling.
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