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Congenital & Genetic Disorders MCQs for Nursing Exams

969 questions with explanations · 26 free to practise now.

Congenital & Genetic Disorders questions for NORCET, RRB, ESIC, CHO and state nursing officer exams, split into 21 topics. Open a topic to read sample questions with answers, or start free practice. Every question comes with a simple-English explanation.

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Congenital & Genetic Disorders topics

General 553Down Syndrome 81Cystic Fibrosis 80Child Health Nursing 32Spina Bifida 29Pyloric Stenosis 22Hypothyroidism 20Cleft Lip And Palate 18The Nursing Care Of Children 17Congenital Heart Defect 15The Client With Myelomeningocele 15Colostomy 11Heart Failure 11Restraints 10Cerebral Palsy 9Hypertension 9Physiological Integrity: Care Of Children And Families 9The Client With Cleft Lip And Palate 9Increased Intracranial Pressure 7Pediatric Nursing 6The Client With Phenylketonuria 6

Sample Congenital & Genetic Disorders questions

Q1. The nurse is examining an infant for hip placement and has abducted her flexed legs. The nurse would next:

  1. Rotate the hips
  2. Listen for a "click."
  3. Extend the legs
  4. Palpate the hips for a mass
Show answer and explanation

Answer: B. Listen for a "click."

Ortolani's manipulation is used to detect congenital hip dysplasia. The infant is supine and a "click" is heard when flexed legs are abducted. This results from pressure causing the femoral head to slip out of the acetabulum. The other maneuvers will not determine the position of the femoral head in the acetabulum.

Q2. Immediately on return to the nursing unit after surgical repair of a cleft palate, in which of these positions would the nurse place the child?

  1. In low Fowler's position with the head turned to the side
  2. Lying on the abdomen with the head turned to the side
  3. In reverse Trendelenburg with the head tilted forward
  4. On the back with the head in a position of comfort
Show answer and explanation

Answer: B. Lying on the abdomen with the head turned to the side

Right after a surgical repair of a cleft palate, the child is placed on the abdomen with the head turned to the side to lessen the chance of aspiration by allowing secretions to drain out. Positioning the child on the back places the child at risk for aspiration should any regurgitation or vomiting occur, even in low Fowler's position with the head to the side or in reverse Trendelenburg position with the head tilted forward.

Q3. The parents of a newborn found to have a cleft lip and palate ask the nurse when their child's lip and palate will most likely be repaired. What is the nurse's best response?

  1. "The palate and the lip are usually not repaired until the baby is approximately 6 months old so that the mouth has had enough time to grow."
  2. "The lip is repaired in the first few months of life, but the palate is not usually repaired until the child is 3 years old."
  3. "The lip is repaired in the first few weeks of life, but the palate is not usually repaired until the child is 18 months old."
  4. "The palate and the lip are usually repaired in the first few weeks of life so that the baby can grow and gain weight."
Show answer and explanation

Answer: C. "The lip is repaired in the first few weeks of life, but the palate is not usually repaired until the child is 18 months old."

A. The palate is not repaired until the child is approximately 18 months old to allow for facial growth. Waiting beyond 18 months may interfere with speech. B. The lip is usually repaired in the first few weeks of life, and the palate is usually repaired at approximately 18 months. C. The palate is repaired earlier than 3 years so that speech development is not impaired. D. The lip is repaired in the first few weeks of life, but the palate is not usually repaired until the child is 18 months old.

Q4. When developing a care plan for a child who has undergone surgery to correct a cleft lip, how frequently should the nurse plan to remove and reapply the restraints?

  1. Every 2 hours Nursing Care of an Infant with Pyloric Stenosis The nurse is caring for a 3-week-old infant who has been admitted to the hospital for surgical correction of pyloric stenosis
  2. Every 8 hours
  3. Every 4 hours
  4. Daily
Show answer and explanation

Answer: A. Every 2 hours Nursing Care of an Infant with Pyloric Stenosis The nurse is caring for a 3-week-old infant who has been admitted to the hospital for surgical correction of pyloric stenosis

Unless the doctor orders otherwise, most restraints are removed and reapplied at least every 2 hours to check skin integrity and maintain adequate circulation and movement. The child is monitored when restraints are removed. Checking the restraints daily every 4 or 8 hours prevents adequate assessment and movement of the extremity.

Q5. An infant with a myelomeningocele is admitted to the pediatric intensive care unit (PICU). While the infant is awaiting surgical correction of the defect, what is the best nursing action?

  1. Using disposable diapers
  2. Placing the infant in the prone position
  3. Performing neurologic checks above the site of the lesion
  4. Washing the area below the defect with a nontoxic antiseptic
Show answer and explanation

Answer: B. Placing the infant in the prone position

This is the best position for preventing pressure on the sac. 1 Diapers should not be applied because they might irritate or contaminate the sac. 3 Assessment of the area below the defect is essential to determine motor and sensory function. 4 There is no indication for the use of an antiseptic.

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More subjects

Fundamentals & AssessmentMedical-Surgical NursingPharmacologyFluids, Labs & EmergencyMaternity & NewbornMental HealthCommunity & Geriatric CareLeadership, Law & EthicsNutritionNORCET Previous YearsMixed Review

Frequently asked questions

Are the Congenital & Genetic Disorders questions free?

A set of 26 questions is free to practise after you enter your name and mobile number (no OTP). The full set of 969 questions is in NurseRank Premium.

Is Congenital & Genetic Disorders asked in NORCET and other nursing officer exams?

Nursing exams test the core nursing subjects, so this subject is useful for NORCET, RRB, ESIC, CHO and state exams. Check your exam's official syllabus for exact weightage.

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