The couple has had an ultrasound at 19 weeks' gestation, and their fetus was found to have anencephaly. The nurse is completing counseling for the couple on the ultrasound findings. Which statement indicates that additional teaching is needed?

1. "We won't know if something is wrong until the baby's chromosomes are tested."
2. "This problem is not caused by one of us having a genetic problem."
3. "Our baby has an incomplete brain and might not be born alive."
4. "Waiting until our 30s did not cause this problem to develop."


Correct Answer: 1
Rationale 1: Anencephaly is clearly visualized with an ultrasound and does not require genetic testing to verify a diagnosis.
Rationale 2: Genetic abnormalities in either parent are not related to anencephaly.
Rationale 3: Anencephaly is a condition in which the skull does not cover the brain completely, and the brain consists mostly of brainstem with little other brain development.
Rationale 4: The age of either parent is not related to anencephaly.

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