Practice Quiz

CPM Certified Professional Midwife

Category - Midwifery Counseling and Education

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A client at 8 weeks’ gestation comes to the clinic for her first prenatal visit. The client tells the midwife that a cousin of hers gave birth to a femalebaby with Down syndrome a year ago. The client is anxious that her baby may develop the same genetic disorder and is requesting an immediate amniocentesis. Which of the following statements by the midwife is the appropriate?
  1. “It is good that you are interested in having an amniocentesis. I will schedule you for an amniocentesis within the week.”
  2. “We need to schedule your amniocentesis in two months. The fetus is not mature enough to give accurate results at this time.”
  3. “You can have an amniocentesis between 15 and 16 weeks’ gestation. The amount of amniotic fluid is insufficient to be able to obtain an amniotic sample at this time.”
  4. “You may have a choronic villi sampling in two weeks. Amniocentesis is not performed until the third trimester.”
Explanation
Answer: C - The midwife should inform the client that amniocentesis is usually performed between 15 and 16 weeks’ gestation to ensure sufficient amniotic fluid. Chorionic villi sampling may be performed between 10 and 12 weeks’ gestation.
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