An unmarried couple gives birth to an infant with achondroplasia. The mother says, "Neither of our families has ever had anything like this happen before." What should be the nurse's initial response?
1. "Are you certain your boyfriend is the baby's father?"
2. "Achondroplasia often occurs in families who have no prior history."
3. "There must be someone in the family who is a carrier."
4. "Does your family have a history of early miscarriage?"
2
Rationale 1: While paternity may be an issue, this is not a therapeutic first response.
Rationale 2: More than 80% of cases of achondroplasia result from new mutations.
Rationale 3: This statement is not true and may lead the family to look for a person to blame for the disorder.
Rationale 4: While the family may have a history of fetuses with this disorder that were miscarried early, this is not the best response to the mother's concern.
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