10-24-2007, 09:58 AM
You assist in the delivery of a neonate born to a couple who have been your patients for the past 7 years. The husband is 50 years old and the wife is 45 years old. The wife had been offered maternal serum triple-marker screening and amniocentesis during the pregnancy because of her advanced age, and she had declined the testing. At the delivery, the neonate has features suggestive of Down syndrome. Apgar score is 9 at 1 minute and 9 at 5 minutes. Initial physical examination demonstrates no cyanosis and no heart murmur. In the delivery room, which of the following is the best initial statement to make to the parents?
A
) "Do you remember the tests we discussed early in your pregnancy?"
B
) "I am concerned about your infant because she may have Down syndrome."
C
) "I am sorry to have to tell you this, but I suspect your baby has Down syndrome."
D
) "We are going to have to take the baby to the nursery for some tests."
E
) "Your daughter is doing well, but I am concerned about some of her physical features."
A
) "Do you remember the tests we discussed early in your pregnancy?"
B
) "I am concerned about your infant because she may have Down syndrome."
C
) "I am sorry to have to tell you this, but I suspect your baby has Down syndrome."
D
) "We are going to have to take the baby to the nursery for some tests."
E
) "Your daughter is doing well, but I am concerned about some of her physical features."