Genetic testing reveals that a fetus is very likely to have Down syndrome. How should the health care team approach the parents?

Question

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. "We have bad news about the test results."
2. "We hate to tell you this, but your child has a serious genetic disorder."
3. "Your baby has a bad defect."
4. "Your baby likely has Down syndrome."
5. "Preliminary tests suggest your baby has Down syndrome."

Answer 1

4,5
Rationale 1: The way the health care team presents information is critical. It is not therapeutic to start with "we have bad news."
Rationale 2: The approach of the health care team is critical. This approach projects a negative outlook.
Rationale 3: It is not therapeutic to identify the baby as defective.
Rationale 4: Genetic testing will be followed up with addition tests through the pregnancy and in the immediate neonatal period. It is best to be factual and straightforward about the diagnosis.
Rationale 5: This statement covers both the fact that the baby likely has Down syndrome and that the testing is preliminary. This statement is therapeutic.