6. Hereditary and Environmental Influences on Development (Genetics) Flashcards

1
Q

Hereditary Influences

* Directions for cellular function are provided by the genes located on __ chromosomes in every somatic cell

* Too much or too little genetic material results in abnormal structure or function

* Ranges from annoying to life-threatening conditions

A

46

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2
Q

DNA

* Basic building blocks of genes and chromosomes

* Consists of 3 units:
> ___, ___, 1 of 4 ___

* Resembles a spiral ladder

* Sequencing of base pairs

* If the sequence is incorrect or there are missing or added bases, a defect in body structure or function may occur

A

sugar, phosphate group, 1 of 4 nitrogen bases

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3
Q

___

* A segment of DNA that directs that production of a specific body structure or function

* Approximately 25,000-35,000 in each cell

A

Genes

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4
Q

___

> A gene that alters or harms functions

___

> A complete set of DNA that determines the traits of a person

___

> Genes that encode for the same trait

A

Mutations

Genome

Alleles

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5
Q

Chromosomes

> Genes are organized into 46 paired chromosomes

> 22 pairs are ___ (not sex)

> 23rd pair contains the sex chromosomes (XX females, XY males)

> Mature gametes (reproductive cells) are ___
→ Have half the chromosomes (23) of other body cells

> Allows for variation of genetic traits

A

autosomes

haploid

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6
Q

Genetic Analysis

?

Photographing or using computer imaging allows chromosomes to be displayed from largest to smallest pairs

A

Karyotype

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7
Q

Chromosome analysis

* Cells for chromosome analysis must have a nucleus and must be living

* Can be studied using any type of cells - e.g. blood, bone marrow, fetal cells

A
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8
Q

Transmission of Traits by Single Genes

Alleles

> ___ (identical) or ___ (different)

Dominance

> ___ (observable characteristics)
* e.g. blood types A and B dominant/O recessive

Chromosome location

A

Homozygous; heterozygous

Phenotype

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9
Q

Patterns of Single-Gene Inheritance

Inheritance pattern - ___ or ___

Autosomal dominant trait

> Produced by a dominant gene on a non-sex chromosome

A

genogram; pedigree

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10
Q

Autosomal ___

> A person receives two copies of an inferior gene carried on an autosome

X-linked

A

recessive

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11
Q

Single-Gene Abnormalities

* A person affected with an autosomal dominant disorder has a __% chance of transmitting the disorder to each child

* Two healthy parents who carry the same abnormal autosomal recessive gene have a __% chance of having a child affected with the disorder

A

50%

25%

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12
Q

Single-Gene Abnormalities

* Parental ___ (blood relationship) increases the risk of having a child with an autosomal recessive disorder

* One copy of an abnormal X-linked recessive gene is enough to produce the disorder in a male

* Abnormal genes can arise as new mutations

A

consanguinity

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13
Q

Chromosome Abnormalities

Structural

> Part of a chromosome missing or added

> Rearranged DNA within chromosomes

> One or part of a chromosome attached to another - ___

__ __ syndrome
> A site on the X chromosome is more fragile than normal
> More severe in males (only one X) and most common cause of intellectual disability
> Inherited in an X-linked ___ pattern

A

translocation

Fragile X

dominant

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14
Q

Chromosome Abnormalities

Numerical

> Entire single chromosome added (___)

> Entire single chromosome missing (___)

> One or more added sets of chromosomes (___)

A

trisomy

monosomy

polyploidy

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15
Q

Multifactorial Disorders - Characteristics of

> Interaction of genetic and environmental factors

> Present and detectable at birth

> Isolated defect

> May cause a secondary defect

> Examples include:
→ Heart defects
→ Neural tube defects
→ Cleft lip or palate
→ Pyloric stenosis

A

Multifactorial Disorders - Risk for occurrence

> Number of affected close relatives

> Severity of the disorder

> Sex of the affected person

> Geographic location

> Seasonal variations

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16
Q

Environmental Influences

___ (harmful)
> Agents in the fetal environment that either cause a birth defect or increase the likelihood that a birth defect will occur

Types of
> Maternal infectious agents (viruses/bacteria) that cross placenta
> Drugs and other substances (chemicals)
> Pollutants, chemicals, and other substances mother is exposed to
> Ionizing radiation
> Maternal hyperthermia
> Effects of maternal disorders such as diabetes or phenylalanine hydroxylase deficiency (PKU)

A

Teratogens

17
Q

Mechanical Disruption to Fetal Development

___

> Results from tears in the amnion - inner sac of the fetal membranes

> Can result in fetal deformations or intrauterine limb amputation

A

Fibrous amniotic bonds

18
Q

___

> An abnormally small volume of amniotic fluid which reduces the cushion surrounding the fetus

> May result in deformity such as clubfoot

A

Oligohydramnios

19
Q

Genetic Counseling

* Provides services to help people understand disorders and levels of risk

> Availability

* Incorporated into nursing curriculum

> Focus on the family

* Multidisciplinary approach

A

> Healthcare legislation

* Genetic Information & Nondiscrimination Act (GINA) - protects patients against genetic discrimination

> Process of genetic counseling

* Preconception screening

* Prenatal diagnosis for fetal abnormalities

* Postnatal diagnosis for an infant with a birth defect

20
Q

> Supplemental services

* Support groups

* Grief counseling

> Nurse as part of the genetic counseling team
* Counseling
* Guidance through prenatal diagnosis
* Support
* Coordinating services
* Help in establishing connection with support groups

A

> Nurses in general practice

* Women’s Health nurses

* Antepartum nurses

  • Identifying families for referral
  • Helping the woman decide about genetic counseling
  • Teaching about lifestyle
  • Providing emotional support
  • Helping the woman and family deal with abnormal results

* Intrapartum and neonatal nurses

* Pediatric nurses

21
Q

Reasons for Referral to a Genetic Counselor

* Pregnant woman who will be ___ years or older when the infant is born

* Men who father children after ___ years of age

* Members of groups with increased incidence of a specific disorder

* Carriers of autosomal ___ disorder

* Women who are carriers of X-linked disorders

* Couples related by blood

A

35

40

recessive

22
Q

Reasons for Referral to a Genetic Counselor cont’d

* Family history of birth defects

* Family history of unexplained stillbirth

* Women who experience multiple spontaneous abortions

* Pregnant women exposed to teratogens before or during pregnancy

* Pregnant women with abnormal prenatal screening results

A