Which client(s) should the nurse refer to a genetics practitioner prior to attempting pregnancy?
1. 32-year-old woman and 29-year-old man with 3-year-old twins
2. 22-year-old woman whose sister has Tay-Sachs disease
3. 30-year-old woman whose husband has AIDS
4. 19-year-old woman whose sister has primary infertility
2
Rationale:
1. This patient has no indication of having a genetic problem.
2. Tay-Sachs disease is an autosomal recessive condition; therefore, if the client's sister has the disease, the client could be a carrier for the condition.
3. The risk for this client is becoming infected with HIV while attempting conception. This couple has no indication of a genetic condition.
4. Primary infertility is not likely to be caused by a genetic defect that could be carried by a sibling. This client has no indication of a genetic condition.
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