Chapter 3, Developmental and Genetic Influences on Child Health Promotion Video Solutions, Wong’s Essentials of Pediatric Nursing

Problem 1

The nurse may be called upon to have knowledge about sex chromosome aneuploidies. In answering families' questions, the nurse can report:
a. "Some of the most common genetic disorders caused by sex chromosome aneuploidies are Klinefelter, XXY, triple X female, and Turner syndromes."
b. "Klinefelter syndrome is the most common of all sex chromosome aneuploidies, and mental development is normal in most cases."
c. "Triple $\mathrm{X}$ females have premature menarche and delayed menopause."
d. "Turner syndrome girls have a prepubertal growth spurt and then mostly stop growing."

Jenny Wu

Numerade Educator

06:50

Problem 2

When parents consider genetic testing, especially after having a child born with an anomaly, which information could the nurse use to further instruct the family? Select all that apply.
a. Genetic screening can provide early recognition of a disease, before signs and symptoms occur, for which effective intervention and therapy exists.
b. Screening can occur at different times in a person's life: preconceptual, newborn screening, or maternal screening after delivery, depending on the circumstances.
c. Genetic testing can help identify carriers of a genetic disease for the purpose of maximizing parenthood planning options.
d. A thorough history by the nurse will include the parents' siblings, the parents, and the grandparents.
e. Recognizing a genetic disorder can further facilitate a genetic evaluation by collecting pregnancy, labor and delivery, perinatal, medical, and developmental histories.

Raechel Tittor

Numerade Educator

Problem 3

A mother brings her 3-year-old daughter to the well-child clinic and expresses concern that the child's behavior is worrisome and possibly requires therapy or medication at minimum. The mother further explains that the child constantly responds to the mother's simple requests with a "no" answer even though the activity has been a favorite in the recent past. Furthermore, the child has had an increase in the number of temper tantrums at bedtime and refuses to go to bed. The mother is afraid her daughter will hurt herself during a temper tantrum because she holds her breath until the mother picks her up and gives in to her request. The nurse's best response to the mother is that:
a. The child probably would benefit from some counseling with a trained therapist.
b. The mother and father should evaluate their childrearing practices.
c. The child's behavior is normal for a toddler and may represent frustration with control of her emotions; further exploration of events surrounding temper tantrums and possible interventions should be explored.
d. The child's behavior is ty pical of toddlers, and the parents should just wait for the child to finish this phase, because this will end soon as well.

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Problem 4

. The mother of a 4-year-old health clinic patient asks the nurse about night terrors. Which statement by the mother reveals a need for further teaching? Select all that apply.
a. He will grow out of this stage when he is a little older.
b. Getting into a specific routine is helpful and can be calming to my son.
c. Watching TV with an adult is helpful so that he understands what is real.
d. I can help my child with sleep by giving him his favorite stuffed animal or using a nightlight.
e. Our family often sleeps together, and this seems to help.

Emily Schein

Numerade Educator