An MSAFP screening indicates an elevated level of alpha-fetoprotein.The test is repeated,and again the level is reported as higher than normal.What is the next step in the assessment sequence to determine the well-being of the fetus?
A) PUBS
B) Ultrasound for fetal anomalies
C) BPP for fetal well-being
D) Amniocentesis for genetic anomalies

Question

Quizplus · Accepted Answer

If MSAFP findings are abnormal,then follow-up procedures include genetic counseling for families with a history of NTD,repeated MSAFP screenings,an ultrasound examination,and possibly amniocentesis.Indications for the use of PUBS include prenatal diagnosis of inherited blood disorders,karyotyping of malformed fetuses,detection of fetal infection,determination of the acid-base status of fetuses with IUGR,and assessment and treatment of isoimmunization and thrombocytopenia in the fetus.A BPP is a method of assessing fetal well-being in the third trimester.Before an amniocentesis,the client would have an ultrasound for direct visualization of the fetus.

An MSAFP Screening Indicates an Elevated Level of Alpha-Fetoprotein