hard · NCLEX-RN health-promotion
A couple, both confirmed carriers of cystic fibrosis (CF), want to have biological children but want to avoid both the risk of conceiving an affected child and the need for prenatal invasive testing during pregnancy. Which options should the nurse discuss as part of comprehensive preconception planning? Select all that apply.
- Adoption as a pathway to build their family without genetic risk to the child.
- The option of gestational surrogacy using the couple's own unmodified naturally conceived embryos.
- The use of donor gametes (sperm or egg) from an individual who has tested negative for CF mutations.
- Conceiving naturally and using chorionic villus sampling (CVS) at 11 weeks of gestation.
- In vitro fertilization (IVF) paired with preimplantation genetic testing for monogenic disorders (PGT-M).
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