The couple has had an ultrasound at 19 weeks' gestation, and their fetus was found to have anencephaly. The nurse is completing counseling for the couple on the ultrasound findings. Which statement indicates that additional teaching is needed?
1. "Our baby has an incomplete brain, and might not be born alive."
2. "This problem is not caused by one of us having a genetic problem."
3. "We won't know whether something is wrong until the baby's chromosomes are tested."
4. "Waiting until our 30s did not cause this problem to develop."
3
Rationale 1: Anencephaly is a condition in which the skull does not cover the brain completely, and the brain consists mostly of brain stem with little other brain development.
Rationale 2: Folic acid deficiency is a contributing factor, but genetic abnormalities in either parent are not related to anencephaly.
Rationale 3: Anencephaly is clearly visualized with ultrasound, and does not require genetic testing to verify a diagnosis.
Rationale 4: The parents' ages are not related to anencephaly.
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