Step 1: Consanguinity is marriage between relatives, and closely related partners share more alleles, so their children are more often homozygous for recessive alleles.
Step 2: Because of this, the frequency of congenital malformations among newborns of first cousin unions is about double that of the general population.
Step 3: The background rate of birth defects in the general population is roughly 2 to 3 percent. Doubling this gives about 4 to 6 percent for first cousin couples.
Step 4: Among the options, the band that contains this 4 to 6 percent figure is 4-8 percent, so that is the answer.