A nurse in a prenatal clinic is discussing the risks of twin to twin transfusion syndrome with an 18 week pregnant client with monochorionic-monoamniotic (mono-mono) twins.Which of the following statements by the client shows an understanding of the education?

"My twins are at higher risk of twin to twin transfusion because they share a placenta.”.

"Twin to twin transfusion results in over perfusion to both babies causing circulatory overload and CHF.”.

"Twin to twin transfusion is very common in all multiple gestation pregnancies.”.

"My twins are at a lower risk for twin to twin transfusion because they share the placenta.”. .