Prenatal testing is used to assess for genetic risks and to identify genetic disorders. In discussing an elevated alpha-fetoprotein screening test result with a couple, the nurse would discuss:

Question

A) The special care needed for a Down syndrome infant
B) The need for a more specific determination of the acid–base status
C) The need for more definitive evaluations before making any conclusions
D) The need for immediate termination of the pregnancy

Answer 1

C
Response:
Increased maternal serum alpha-fetoprotein levels may indicate a neural tube defect, Turner syndrome, tetralogy of Fallot, multiple gestation, omphalocele, gastroschisis, or hydrocephaly. Therefore, additional information and more specific determinations need to be done before any conclusion can be made. Down syndrome is associated with decreased maternal serum alpha-fetoprotein levels. This type of testing provides no information about the acid–base status of the fetus. Immediate termination is not warranted; more information is needed.