Test bank for Maternal and Child Health Nursing : Care of the Childbearing and Childrearing

Test bank for Maternal and Child Health Nursing :

Care of the Childbearing and Childrearing Family 7th

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1. A woman is aware that she is the carrier of a sex-linked recessive disease (hemophilia
A); her husband is free of the disease. What frequency of this disease could she expect
to see in her children?
A) All male children will inherit it.
B) All female children will be carriers like she is.
C) One-half of her male children will inherit the disease.
D) One-half of her female children will inherit the disease.

2. The ethics of genetic screening encourage you to

A) not reveal a finding that would be detrimental to self-esteem.
B) notify all family members of the finding as soon as possible.
C) promote mandatory screening for high-risk people.
D) relay findings to individuals as soon as possible.

3. A woman carries a recessive gene for sickle cell anemia. If her sexual partner also has
this recessive gene, the chance that her first child will develop sickle cell anemia is
A) 1 in 4.
B) 2 in 4.
C) 3 in 4.
D) 0 in 4.

4. A woman who has a recessive gene for sickle cell anemia marries a man who also has a
recessive gene for sickle cell anemia. Their first child is born with sickle cell anemia.
The chance that their second child will develop this disease is
A) 1 in 4.
B) 2 in 4.
C) 3 in 4.
D) 0 in 4.

5. A number of inherited diseases can be detected in utero by amniocentesis. Which of the

following diseases can be detected by this method?
A) Diabetes mellitus
B) Trisomy 21
C) Phenylketonuria
D) Impetigo

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 6. You care for a child with Down syndrome (trisomy 21). This is an example of which
type of inheritance?
A) Mendelian recessive
B) Mendelian dominant
C) Chromosome nondisjunction
D) Phase 2 atrophy

7. A young married woman tells you that she is going to have a tubal ligation because
there are two people with mental retardation in her husband's family, and she is afraid
this problem will surface in her children. Which of the following nursing diagnoses
would best apply to this couple?
A) Spiritual distress related to inappropriate approach to the issue of having children
B) Sexual dysfunction related to the possibility of having a cognitively impaired child
C) Deficient knowledge of genetically inherited disorders
D) Anxiety related to an impending marriage

8. When caring for the couple in which the wife is considering tubal ligation because she is
concerned about her children inheriting her husband's family's mental retardation, a
primary nursing intervention would be to
A) help the woman reject the idea of sterilization.
B) strengthen the couple's resolve to remain childless.
C) help the couple decide to have children.
D) increase the couple's knowledge about genetic inheritance.

9. You prepare a couple to have a karyotype performed. Which of the following describes
a karyotype?
A) A blood test that will reveal an individual's homozygous tendencies
B) A visual presentation of the chromosome pattern of an individual
C) The gene carried on the X or Y chromosome
D) The dominant gene that will exert influence over a correspondingly located
recessive gene

10. When an infant is born with a genetic disorder, it is appropriate to advise the parents
that
A) not all genetic disorders are inherited.
B) experiences the mother had during pregnancy are probably not related.
C) it is likely that the mother drank alcohol during early cell division.
D) the disorder has probably occurred in the family before.

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11. When assessing newborns for chromosomal disorders, which assessment would be most
suggestive of a problem?
A) Low-set ears
B) Slanting of the palpebral fissure
C) Short neck
D) Bowed legs

12. A gene that is expressed when paired with another gene for the same trait is called
A) dominant.
B) recessive.
C) homozygous.
D) heterozygous.

13. Which of the following suggests that a child's disorder is a sex-linked inherited one?
A) Male children of an affected male are free of the disease.
B) Male and female children have the disease equally.
C) One of the parents of the child has the disorder.
D) The disease will have occurred in a female grandparent.

14. When counseling potential parents about genetic disorders, which of the following
statements would be appropriate?
A) Genetic disorders primarily follow Mendelian laws of inheritance.
B) Environmental influences may affect multifactorial inheritance.
C) All genetic disorders involve a similar number of abnormal chromosomes.
D) The absence of genetic disorders in both families eliminates the possibility of
having a child with a genetic disorder.

15. Down syndrome may occur because of a translocation defect. This means the
A) infant inherits chromosomal material from only one parent.
B) parents have a chromosomal pattern that is exactly alike.
C) additional chromosome was inherited because it was attached to a normal
chromosome.
D) parents are such close relatives that their genes are incompatible.

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Test bank for Maternal and Child Health Nursing : Care of the Childbearing and Childrearing

Answer Key
1. C
2. D
3. A
4. A
5. B
6. C
7. C
8. D
9. B
10. B
11. A
12. A
13. A
14. B
15. C

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