Step 1: First cousins carry a measurable proportion of shared genes, raising the chance that both parents transmit the same recessive allele and produce a homozygous affected child.
Step 2: The baseline prevalence of birth defects in the general population sits near $2$ to $3\%$.
Step 3: Empirically the risk in first cousin marriages runs at roughly twice this baseline, landing around $4$ to $6\%$.
Step 4: The only choice that brackets this doubled risk is the $4$ to $8\%$ option.\[\boxed{4\text{-}8\%}\]