QUESTION: 9 Exam Topic: Health Promotion and Maintenance

Diagnostic genetic counseling, for procedures such as amniocentesis and chorionic villus sampling, allows clients to make all of the following choices except ______________.

terminating the pregnancy
preparing for the birth of a child with special needs
accessing support services before the birth
completing the grieving process before the birth

Answer(s): D

Explanation:

If findings are ominous, the grieving process will not be completed before birth.
If the couple elects to terminate a pregnancy based on diagnostic tests, there will be grief and concerns for future pregnancies.
Couples might choose to access support services and prepare for the birth of an infant with special needs. Some fetal conditions can be treated in utero.

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QUESTION: 10 Exam Topic: Health Promotion and Maintenance

A client who is experiencing infertility says to the nurse, “I feel I will be incomplete as a man/woman if I cannot have a child.”

Which of the following nursing diagnoses is likely to be appropriate for this client?

Risk for Self Harm
Body Image Disturbance
Ineffective Role Performance
Powerlessness

Answer(s): B

Explanation:

Of the nursing diagnoses listed, the client’s statement most represents Body Image Disturbance because it directly refers to loss of the function of having a child.

Nothing in the statement indicates that the client is at risk for harming herself.
Ineffective Role Performance could be correct but is not the best choice because the statement does not reflect a disruption of the parent’s role.
Powerlessness could be an appropriate nursing diagnosis if the client described feeling powerless about the infertility.

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