A couple asks the nurse about the optimal time for genetic counseling. They do not plan to have children for several years. When should the nurse recommend they begin genetic counseling?
a. As soon as the woman suspects that she may be pregnant
b. Whenever they are ready to start their family
c. Now, if one of them has a family history of congenital heart disease
d. Now, if they are members of a population at risk for certain diseases
ANS: D
Persons who seek genetic evaluation and counseling must first be aware if there is a genetic or potential problem in their families. Genetic testing should be done now if the couple is part of a population at risk. It is not feasible at this time to test for all genetic diseases. The optimal time for genetic counseling is before pregnancy occurs. During the pregnancy, genetic counseling may be indicated if a genetic disorder is suspected. Congenital heart disease is not a single-gene disorder.
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