Question

Case Scenario:

Ruba is a 39 years old, pregnant woman at 8 weeks gestation, and her husband, Ali, is 50 years old, arrives at antenatal clinic for follow-up. The couples have been married for 12 years. Ruba completes the initial paperwork, and the nurse notes the following obstetric history: G6 T0 P0 A5 L0 M0.  Ruba and Ali asked the nurse many questions regarding Down syndrome as Ali’s sister, recently, has a boy with Down syndrome.

Q1:

What are the fetal screening and diagnostic procedures would the nurse anticipate for Ruba?                                                                                                                     

Q2:

What are the possible screening tests can be performed to reassure Ruba and Ali regarding the possibility of having a child with Down syndrome?                   

Answer 1

Q1. Ans. The nurse advices ruba to do prenatal screening test to identify the down syndrome. 1.aminocentesis 2.chorionicvillus sampling 3. Ultrasound are three primary procedures for diagnostic testing. Q2. Answer ruba is in first trimester the possibility of test are blood test (PAPP-A) pregancy associated plasma protein A, this test indicate a problem with the baby. :Nuchal transulency test ultraultrasound is measure a specific area on the back of ur baby's neck.