A family with a child who had a cleft lip and palate at birth are planning another pregnancy. What intervention should be recommended prior to conception?

1. A genetic family history
2. A family pedigree
3. A genetic physical assessment
4. A maternal health history


Correct Answer: 1
Rationale: A genetic family history is recommended when there is history of a congenital anomaly, such as cleft lip and palate. A pedigree is a more comprehensive family history, and could follow a genetic family history if needed. The previous anomaly is already known, so a genetic history would be recommended over a genetic physical assessment. A maternal health history is not comprehensive enough for this case.

Nursing

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