1. By Catherine Ramos Marin, MSN/Ed(c), WHCNP, RN

2.  Chromosome abnormalities: of number or of structure  Some of these abnormalities can also be passed on to other offspring  Ideal time: before a first pregnancy  Info must be kept confidential

3.  Explain the procedures they can expect to undergo  Explain how different genetic screening tests are done and when they are usually offered  Supporting a couple during the wait for test results  Assisting couples in values clarification, planning, and decision making based on test results

4.  Trisomy 21 (Down Syndrome)  1 in 700 live births, incidence variable with age of woman  Mental retardation, hypotonia at birth, flattened occiput, depressed nasal bridge, mongoloid slant of eyes, epicanthal folds, protrusion of the tongue, low set ears, congenital heart disease

6.  Trisomy 18  1 in 3000 live births  Mental retardation, severe hypotonia, low set ears, ptosis (drooping of eyelids), syndactyly (webbing of fingers), congenital heart defects, single umbilical artery, third and fourth fingers overlapped by second and fifth fingers, most do not survive beyond early infancy

7.  Trisomy 13 (Patau Syndrome)  1 in 5000 live births  Mental retardation, severe hypotonia, seizures, microcephaly,, microthalmia, malformed ears, cleft lip/palate, polydactyly, congenital heart defects, GI tract defects  Do not survive beyond early childhood

8.  A communication process in which the genetic counselor, physician, or specially trained and certified nurse tries to provide the family with accurate information on the occurrence or risk of recurrence of a genetic disease in that family  For family wondering, “Will it happen again?”

9.  Tension building phase Characterized by anger, arguing, blaming the woman for external problems Woman senses growing anger, she blame herself for the battering and believes that she can prevent the escalation  Acute battering phase Triggered by some external event or internal state of the batterer, an episode of acute violence amd major destructiveness, batterer blaming the woman for the abuse, the briefest phase, lasting from few hours to a few days  Tranquil phase The honeymoon period, extremely loving, kind, and contrite behaviors by the batterer as he tries to make up with the woman Overtime, the cycle of violence often increases in severity and frequency!!!!

10.  Refers to all types of unwanted touching or contact without consent  Rape is forced sexual intercourse  And includes both psychologic coercion and physical force  Underreported violent crimes

11.  Acute phase  Outward adjustment phase  Create a safe milieu  Explain the sequence of events in the health care facility  Allow the woman to grieve and express her feelings  Provide advocacy and support at the level requested by the woman, provide assistance to significant others

12.  Reorganizational phase  Integration and recovery  Establish a trusting relationship  Assist the woman to understand her role in the assault  Clarify and enhance the woman’s feelings  Assist the woman in planning for her future  Acknowledge survivor’s success in overcoming trauma, support advocacy efforts

13.  Believe the victim  Listen and be patient  Reinforce the fact that the sexual assault was not the victim’s fault  Encourage the victim to report the assault and preserve evidence  Help the victim to organize his/her thoughts  Take care of yourself….acknowledge your limits and realistically identify your abi9lities to assist the survivor

14.  A pattern of coercive behaviors to gain and maintain power and control by one individual over another in an intimate relationship  95% of all domestic violence cases: men are the perpetrators  Accounts for 20% of violent crimes against women  1 in 4 women will experience domestic violence

15.  Legally, sexual assault is considered a crime against the state rather than against the victim…therefore a community responsibility which the district attorney will act on the victim’s behalf