Prenatal testing is used to assess for genetic risks and to ...

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Prenatal testing is used to assess for genetic risks and to identify genetic disorders. In explaining to a couple about an elevated alpha-fetoprotein screening test result, the nurse would discuss the need for:
 
  A) Special care needed for a Down syndrome infant
  B) A more specific determination of the acidbase status
  C) Further, more definitive evaluations to conclude anything
  D) Immediate termination of the pregnancy based on results

Question 2

Many of the physical characteristics of Down syndrome present feeding problems. Care of the infant should include
 
  a. Delaying feeding solid foods until the tongue thrust has stopped
  b. Modifying diet as necessary to minimize the diarrhea that often occurs
  c. Providing calories appropriate to child's age
  d. Using special bottles that may assist the infant with feeding

[AngeliqueG]

Answer to Question 1

C
Feedback:
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 acidbase status of the fetus. Immediate termination is not warranted; more information is needed.

Answer to Question 2

D
Feedback
A The child has a protruding tongue, which makes feeding difficult. The parents
must persist with feeding while the child continues the physiologic response of
the tongue thrust.
B The child is predisposed to constipation.
C Calories should be appropriate to the child's weight and growth needs, not age.
D Breastfeeding may not be possible if the infant's muscle tone or sucking reflex is
immature. Mothers should be encouraged to pump breast milk and use special
bottles for assistance with feeding. Some children with Down syndrome can
breastfeed adequately.