Chapter 4 Child Health Nursing Partnering With Children & Families, 3rd Edition

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Chapter 4  Child Health Nursing Partnering With Children & Families, 3rd Edition

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Question 1
Type: MCSA
The nurse teaches children with genetic disorders ways to maintain health and avoid complications. The nurse will teach children with which genetic disorder to follow medical guidelines and maintain penicillin prophylaxis?
1. Sickle-cell disease
2. Hereditary idiopathic scoliosis
3. Klinefelter’s syndrome
4. Recklinghausen’s disease
Correct Answer: 1
Rationale 1: The client with sickle-cell disease needs penicillin prophylaxis to avoid complications of infection.
Rationale 2: The client with idiopathic scoliosis is experiencing an orthopedic deviation and does not need prophylactic penicillin.
Rationale 3: The client with Klinefelter’s syndrome has a chromosomal alteration that does not require prophylactic penicillin.
Rationale 4: The client with Recklinghausen’s disease has a genetic disorder affecting neural tissues that does not have complications that can be prevented by penicillin prophylaxis.
Global Rationale:

Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 4-1

Question 2
Type: MCSA
Which parent statement shows understanding of the cause of the child’s genetic condition in such a way that the nurse can document that no further teaching about the cause is needed?
1. “I was angry on the day he was conceived; that is why he got this sickness.”
2. “My nephews had chickenpox in my seventh month of pregnancy with my son, so that is how he got this way.”
3. “My child has this disease because the code in the genes just changed, and it is no one’s fault.”
4. “Our child is like this because I sunbathed too much during the pregnancy when I carried him.”
Correct Answer: 3
Rationale 1: It needs to be reinforced to parents that the child’s condition is not because of something the parent did or did not do during the pregnancy. The parent needs to know the child has a genetic code that tells the cells to be this way because of changes in the genes.
Rationale 2: The mother needs to understand that the child’s condition was not caused by an intrauterine infection or exposure to illness during her pregnancy.
Rationale 3: Scientific understanding of actual reason for a genetic condition will alleviate or reduce the guilt and shame that are wrongfully felt when the parent has misguided beliefs about its causes.
Rationale 4: The mother needs to understand that the child’s condition is caused by a genetic condition. This will reduce shame and guilt on the mother’s part.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 4-1

Question 3
Type: MCSA
A couple is evaluated in the genetics clinic, and the male is found to be a carrier of an X-linked dominant disorder. The couple asks the nurse what this means in regard to their future children. The nurse’s response will include the information that:
1. All girls born to the family will be affected.
2. About 25% of the boys born to the family will be affected.
3. About 25% of the girls born to the family will be affected.
4. All boys born to the family will be affected.
Correct Answer: 1
Rationale 1: The father must provide an X chromosome to the girl fetus. His X chromosome carries the disorder, so all of his daughters will be affected.
Rationale 2: None of the boys will receive the father’s X chromosome, so none will be affected.
Rationale 3: All girls will receive the father’s X chromosome.
Rationale 4: None of the boys will receive the father’s X chromosome, so none will be affected.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 4-1

Question 4
Type: MCSA
All five of the children in a family were born with a genetic disorder. The disorder is inherited as autosomal dominant. If this is not a statistical rarity, the likelihood would be that:
1. One parent has both chromosomes with the affected gene.
2. Both parents are carriers.
3. One parent is a carrier and the other parent is unaffected.
4. One parent has one chromosome affected and the other parent has none.
Correct Answer: 1
Rationale 1: It takes only one chromosome to cause the defect in the child. If one parent has both chromosomes affected, every child would receive the affected chromosome.
Rationale 2: If both parents are carriers, 25% of the children should be free of the disease.
Rationale 3: For all five children to have the disorder, one parent would have to have both chromosomes affected.
Rationale 4: For all five children to have the disorder, one parent would have to have both chromosomes affected.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 4-3

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