Fetal Development

Anna is a 29-year-old G2P1 who has just had a 20-week routine anatomy ultrasound. The physician informed her that there were some “soft markers” for Down syndrome and that genetic amniocentesis is available if she wants to have it. Anna asks if the ultrasound shows that the fetus has Down syndrome. How can the nurse explain the “soft markers” for Down syndrome? What counseling should Anna receive about amniocentesis? Anna decided to go home and discuss the findings with her family. She ultimately decided to have genetic amniocentesis and is back today for that appointment. What are the nursing implications of genetic amniocentesis? The results of the amniocentesis show trisomy 21. After genetic counseling, Anna chooses to continue the pregnancy. How can the nurse help Anna at this time in her pregnancy?

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