A couple who both have a positive family history of sickle cell anemia are concerned about the potential of having a child with sickle cell disease. Which statement indicates that the couple wishes to participate in primary prevention?
1. "We need to both be treated for sickle cell anemia before we can have a baby."
2. "We will have blood tests to determine if we are carriers."
3. "We need to see a genetics counselor to discuss the potential for having a child with sickle cell disease."
4. "Neither one of us has sickle cell disease, so any baby we have will be safe from the disease as well."
3
Rationale 1: Indicating a need for treatment would be considered secondary or tertiary prevention.
Rationale 2: Both individuals being tested for carrier status would be considered secondary prevention, as it deals with early diagnosis of health problems.
Rationale 3: Primary prevention implies health and a high level of wellness for the individual. Seeking out a genetics counselor to discuss the potential for having a child with sickle cell disease is considered primary prevention.
Rationale 4: Stating that neither has the disease, thus a child would not inherit the disease, indicates no level of prevention.
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