Klinefelter Syndrome Statistics Probability

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b) What is the probability that at least one and at most three of the male births have Klinefelter Syndrome? Give your answer to 4 decimal places.

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You attempted to calculate $$\Pr[1 \le X < 3] = \Pr[X = 1] + \Pr[X = 2].$$ The question asks for at least one and at most three, which is the same as saying $$X \in \{1, 2, 3\}.$$ Thus you have neglected to include the case where exactly three such births occur, $\Pr[X = 3]$, in your calculation. You must calculate instead $$\Pr[1 \le X \le 3] = \Pr[X = 1] + \Pr[X = 2] + \Pr[X = 3].$$ Using the Poisson approximation to the binomial distribution as you have done, your rate parameter is $\lambda = (0.0011)(1000) = 1.1$ as you correctly calculated. Your answer should be $0.641387$.