06-15-2007, 11:46 AM
A 44-year-old woman, gravida 4, para 3, at 8 weeks' gestation comes to the physician for her first prenatal visit. She has mild nausea and vomiting but no other complaints. Her obstetric history is significant for three full-term, normal vaginal deliveries of normal infants. She has no medical or surgical history and takes no medications. Physical examination reveals an 8-week-sized uterus, but is otherwise unremarkable. She wishes to have chromosomal testing of the fetus and wants to have chorionic villus sampling performed, as she did with her last pregnancy. Compared with amniocentesis, chorionic villus sampling may place the patient at greater risk for which of the following?
A. Fetal Down syndrome
B. Fetal limb defects
C. Fetal neural tube defects
D. Maternal sepsis
E. Mid-second-trimester abortion
A. Fetal Down syndrome
B. Fetal limb defects
C. Fetal neural tube defects
D. Maternal sepsis
E. Mid-second-trimester abortion