Which patient(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
Correct Answer: 2
Rationale 1: This patient has no indication of having a genetic problem.
Rationale 2: Tay-Sachs disease is an autosomal recessive condition; therefore, if the patient's sister has the disease, the patient could be a carrier for the condition.
Rationale 3: The risk for this patient is becoming infected with HIV while attempting conception. This couple has no indication of a genetic condition.
Rationale 4: Primary infertility is not likely to be caused by a genetic defect that could be carried by a sibling. This patient has no indication of a genetic condition.
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