Select the words or phrases that indicate the infant may have a chromosomal disorder. A woman in her early 40s (forties) gave birth to an infant with a flat nose simian creases on their hands. Mother and infant are both doing well. wide nose bridge bright blue eyes a flat face, and
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- If the child showed a cleft lip through ultrasound analysis and the parents then started blaming each other (because Sue is a smoker and Tim was born with the defect), how would you counsel them? Sue and Tim were referred for genetic counseling after they inquired about the risk of having a child with a cleft lip. Tim was born with a mild cleft lip that was surgically repaired. He expressed concern that his future children could be at risk for a more severe form of clefting. Sue was in her 12th week of pregnancy, and both were anxious about the pregnancy because Sue had had a difficult time conceiving. The couple stated that they would not consider terminating the pregnancy for any reason but wanted to be prepared for the possibility of having a child with a birth defect. The genetic counselor took a three-generation family history from both Sue and Tim and found that Tim was the only person to have had a cleft lip. Sues family history showed no cases of cleft lip. Tim and Sue had several misconceptions about clefting, and the genetic counselor spent time explaining how cleft lips occur and some of the known causes of this birth defect. The following list summarizes the counselors discussion with the couple. Fathers, as well as mothers, can pass on genes that cause clefting. Some clefts are caused by environmental factors, meaning that the condition didnt come from the father or the mother. One child in 33 is born with some sort of birth defect. One in 700 is born with a cleft-related birth defect. Most clefts occur in boys; however, a girl can be born with a cleft. If a person (male or female) is born with a cleft, the chances of that person having a child with a cleft, given no other obvious factor, is 7 in 100. Some clefts are related to identifiable syndromes. Of those, some are autosomal dominant. A person with an autosomal dominant gene has a 50% probability of passing the gene to an offspring. Many clefts run in families even when there does not seem to be any identifiable syndrome present. Clefting seems to be related to ethnicity, occurring most often among Asians, Latinos, and Native Americans (1 : 500); next most often among persons of European ethnicity (1 : 700); and least often among persons of African origin (1 : 1,000). A cleft condition develops during the fourth to the eighth week of pregnancy. After that critical period, nothing the mother does can cause a cleft. Sometimes a cleft develops even before the mother is aware that she is pregnant. Women who smoke are twice as likely to give birth to a child with a cleft. Women who ingest large quantities of vitamin A or low quantities of folic acid are more likely to have children with a cleft. In about 70% of cases, the fetal face is clearly visible using ultrasound. Facial disorders have been detected at the 15th gestational week of pregnancy. Ultrasound can be precise and reliable in diagnosing fetal craniofacial conditions.One of your best friends tells you that she and her husband think she might be pregnant. She feels she can wait until shes several months along before finding an obstetrician. You think she could use some medical advice sooner, and you suggest she discuss her plans with a physician as soon as possible. What kinds of health issues might you be concerned about?The term _______________________ means pertaining to birth. natal perinatal postnatal prenatal
- Why are older expectant mothers routinely given amniocentesis or CVSElsa is a mother of 2 and currently on her first trimester of her 3rd pregnancy's. She loves to eat raw rice, unripe guava and other unique food. Her two children ages 2 years and 3 years is remarkably stunted for growth, pale and big tummy, you have visited her home as part of your family nursing care. Based on this scenario to whom would you refer the family.Aling Violeta is confirmed to be 12 weeks pregnant. You then decide to conducta health teaching regarding pregnancyYou know that the right order of the occurrence of pregnancy events is Positive urine pregnancy test, determined viability, presence of fetal movement felt by the client, audible fetal heart tones via Doppler Determined viability, positive urine pregnancy test, audible fetal heart tones heard via Doppler, presence of fetal movement felt by the client Presence of fetal movement felt by the client, audible fetal heart tones heard via Doppler, positive home/urine pregnancy test, determined viability Positive urine pregnancy test, audible fetal heart tones heard via Doppler presence of fetal movement felt by the client
- Why does the mother not consider the fetus a foreign body (antigen)Which letter represents the last portion of the birth canal? -A -E B OD O A O EChildren with this condition has the following features: wide or web-like neck; low-set ears; broad chest with widely spaced nipples; high, narrow roof of the mouth (palate); arms that turn outward at the elbows; fingernails and toenails that are narrow and turned upward; swelling of the hands and feet, especially at birth; slightly smaller than average height at birth; slowed growth; and cardiac defects. The statement applies to Turner syndrome only The statement applies to Down syndrome only The statement applies to both Turner syndrome and Down syndrome The statement applies to neither Turner syndrome nor Down syndrome
- A young woman is seen in the emergency department. She states, "I took a pregnancy test today . I'm pregnant . My parents will be furious with me !! have to do somethingWhich of the following responses by the nurse is most appropriate? Lets talk about your options Take medicine to abort the pregnancy so your parents won't know. I can help you tell your parents The best thing for you to do is to have the baby and to give it up for adoption.1 6 13 19 | }H_IC K 2 7 14 20 8 15 3 21 22 10 16 H 11 17 X What is this type of image called? How are they useful? What disorder does this person have? How can you tell? What is the birth gender of this individual? 5 12 18 YCathy is pregnant for the second time. Her first child, Donald, has cystic fibrosis. Cathy has two brothers Charles and Colin, and a sister, Cindy. Colin and Cindy are unmarried. Charles is married to an unrelated woman, Carolyn, and has a 2-year old daughter, Debbie. Cathy's parents are Bob and Betty. Betty's sister Barbara is the mother of Cathy's husband, Calvin, who is 25. There is no previous family history of CF. Assume that everyone in this family is of Northern European Origin. A. Sketch the pedigree, using standard symbols. B. What is the pattern of transmission of CF, and what is the risk for CF for Cathy's next child? C. Which people in this pedigree are compound heterozygotes? D. What is the chance of Charles having a child with cystic fibrosis? Show your work.
