medium · NCLEX-RN health-promotion
An infant in the pediatric clinic has just been diagnosed with cystic fibrosis. The infant's maternal aunt, who is currently planning her first pregnancy, is anxious and asks the clinic nurse if she should be tested and what her risks are.
Which statement should the nurse provide as the most appropriate recommendation?
- Reassure the aunt that because the disease occurred in her sister's child, her own future children are completely safe.
- Instruct her that she must undergo a sweat chloride test immediately to determine if she is a carrier of the cystic fibrosis mutation, in this situation, based on the current findings.
- Recommend that she undergo cystic fibrosis carrier screening prior to conception, as her sister is an obligate carrier, giving the aunt a 50% probability of carrying the same mutation.
- Advise her to seek in vitro fertilization with donor oocytes immediately, as she is guaranteed to have a child with active disease, at this point in care, as the next nursing response.
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