The nurse learns that a client from a different country and culture was married to her first cousin before moving to the United States. The couple is expecting their first child in 4 months. What should the nurse consider when counseling this client?
1. Birth control
2. Carrier testing
3. Pregnancy termination
4. Legal issues in the United States
2
Explanation:
1. Counseling on birth control would be inappropriate.
2. In many other cultures, marriage of first cousins and others who are related by blood is customary or even preferred. Genetic counseling involves identifying consanguinity and offering risk information, carrier testing, and nondirective counseling.
3. Counseling on pregnancy termination would be inappropriate.
4. The legal issues would not apply since the marriage occurred before coming to the United States.
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