Week 9 BSN 346 Sherpath Questions
And Answers | 2026 Updated Solutions |
100% Correct Answers
1. Which patient would benefit from prenatal genetic counseling?
A patient with sickle cell disease (SCD)
A patient who is having difficulty conceiving
A patient with history of two multifetal pregnancies
A patient with a history of miscarriage resulting from polyploidy
A patient with sickle cell disease (SCD)
SCD is an autosomal recessive trait that can severely affect a patient’s life. This patient
would benefit from genetic counseling at any point in the perinatal care period.
2. A patient with no family history of genetic abnormalities asks the nurse if there
may still be a need for prenatal genetic counseling. Which patient statement
indicates that genetic counseling may be necessary?
“My partner is 14 years older than me.”
“I was adopted by my biological mother’s sister.”
“One of my children went deaf in one ear after an ear infection.”
“My family and I practice a religion that does not allow marriage outside of our religion.”
,“My family and I practice a religion that does not allow marriage outside of our
religion.”
3. On assessment, the nurse learns that a male toddler born with a congenital heart
defect lives with his parents and two young siblings in the Midwest. The mother
is pregnant with a fourth child. Which additional information would the nurse
need to know to evaluate the risk for the fourth child being born with a heart
defect?
Select all that apply.
Socioeconomic status of the family
The mother's family history of tobacco use
Variations of symptoms because of time or season
Sex of family members born with a heart defect
Number of close relatives born with a heart defect
Variations of symptoms because of time or season
Sex of family members born with a heart defect
Number of close relatives born with a heart defect
4. The antepartum nurse is caring for a patient with a family history of neural tube
defects. The patient declines genetic counseling after listening to the health care
provider’s explanation. Which nursing intervention is appropriate for this patient?
Continue to the next part of the visit.
Inform the patient that declining genetic counseling may lead to inadequate
preparation if the infant is born with a defect.
Provide the patient with printed material regarding genetic counseling to take home
should the patient have a change of mind.
Explain to the patient that the test must be done because a family history of neural tube
defects indicates a need for genetic counseling.
, Continue to the next part of the visit.
5. A patient with a 2-year-old child with cystic fibrosis declines genetic counseling
during her antepartum visit, stating that the birth defect has “already happened,”
and therefore her future children will not be affected. Which is the appropriate
nursing education for this patient?
“The risk for a child developing cystic fibrosis increases with maternal age.”
“This infant has an equal risk for developing cystic fibrosis as your first child.”
“The risk for your infant developing cystic fibrosis is less than your first child, but it is still
present.”
“There is no longer a risk for your infant developing cystic fibrosis, but genetic
counseling can help detect other abnormalities.”
“This infant has an equal risk for developing cystic fibrosis as your first child.”
6. The nurse is caring for a patient who has just received genetic counseling and is
visibly distressed. The patient tearfully explains to the nurse that the counselor
informed her there was a 50% chance of her child having cystic fibrosis and asks,
“What should I do about my pregnancy?” Which response from the nurse is
appropriate for this patient?
“Did the counselor say if there was anything you could do to lower the chance?”
“We can get you information about adoption, if you think you might want to look at it.”
“A 50% chance isn’t very high. There’s an equal chance your baby will be perfectly
healthy.”
“I know you’re faced with a difficult decision, but I’m here to support the choices you
make.”
And Answers | 2026 Updated Solutions |
100% Correct Answers
1. Which patient would benefit from prenatal genetic counseling?
A patient with sickle cell disease (SCD)
A patient who is having difficulty conceiving
A patient with history of two multifetal pregnancies
A patient with a history of miscarriage resulting from polyploidy
A patient with sickle cell disease (SCD)
SCD is an autosomal recessive trait that can severely affect a patient’s life. This patient
would benefit from genetic counseling at any point in the perinatal care period.
2. A patient with no family history of genetic abnormalities asks the nurse if there
may still be a need for prenatal genetic counseling. Which patient statement
indicates that genetic counseling may be necessary?
“My partner is 14 years older than me.”
“I was adopted by my biological mother’s sister.”
“One of my children went deaf in one ear after an ear infection.”
“My family and I practice a religion that does not allow marriage outside of our religion.”
,“My family and I practice a religion that does not allow marriage outside of our
religion.”
3. On assessment, the nurse learns that a male toddler born with a congenital heart
defect lives with his parents and two young siblings in the Midwest. The mother
is pregnant with a fourth child. Which additional information would the nurse
need to know to evaluate the risk for the fourth child being born with a heart
defect?
Select all that apply.
Socioeconomic status of the family
The mother's family history of tobacco use
Variations of symptoms because of time or season
Sex of family members born with a heart defect
Number of close relatives born with a heart defect
Variations of symptoms because of time or season
Sex of family members born with a heart defect
Number of close relatives born with a heart defect
4. The antepartum nurse is caring for a patient with a family history of neural tube
defects. The patient declines genetic counseling after listening to the health care
provider’s explanation. Which nursing intervention is appropriate for this patient?
Continue to the next part of the visit.
Inform the patient that declining genetic counseling may lead to inadequate
preparation if the infant is born with a defect.
Provide the patient with printed material regarding genetic counseling to take home
should the patient have a change of mind.
Explain to the patient that the test must be done because a family history of neural tube
defects indicates a need for genetic counseling.
, Continue to the next part of the visit.
5. A patient with a 2-year-old child with cystic fibrosis declines genetic counseling
during her antepartum visit, stating that the birth defect has “already happened,”
and therefore her future children will not be affected. Which is the appropriate
nursing education for this patient?
“The risk for a child developing cystic fibrosis increases with maternal age.”
“This infant has an equal risk for developing cystic fibrosis as your first child.”
“The risk for your infant developing cystic fibrosis is less than your first child, but it is still
present.”
“There is no longer a risk for your infant developing cystic fibrosis, but genetic
counseling can help detect other abnormalities.”
“This infant has an equal risk for developing cystic fibrosis as your first child.”
6. The nurse is caring for a patient who has just received genetic counseling and is
visibly distressed. The patient tearfully explains to the nurse that the counselor
informed her there was a 50% chance of her child having cystic fibrosis and asks,
“What should I do about my pregnancy?” Which response from the nurse is
appropriate for this patient?
“Did the counselor say if there was anything you could do to lower the chance?”
“We can get you information about adoption, if you think you might want to look at it.”
“A 50% chance isn’t very high. There’s an equal chance your baby will be perfectly
healthy.”
“I know you’re faced with a difficult decision, but I’m here to support the choices you
make.”
