The nurse notes that a pregnant patient's maternal serum alpha-fetoprotein (MSAFP) levels are elevated. What does this information suggest to the nurse?
A) Her child is at risk for Down syndrome
B) Her child is at risk for neural tube defects
C) The test may have been run during the wrong weeks' gestation
D) Further tests are required based on the results
Question 2
As part of a first prenatal visit, the nurse records a pregnant woman's obstetric history.
She has an 18-month-old daughter who was delivered two days after her estimated date of delivery and a 3-year-old son who was born at 35 weeks' gestation. Before her son was born, she lost two pregnancies: one at 12 weeks and the other at 21 weeks. Using the GTPAL method, how should the nurse record this history?
A) G5 T1 P2 A1 L2
B) G4 T1 P1 A2 L2
C) G5 T2 P2 A1 L1
D) G4 T1 P2 A2 L2
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