You see a healthy 40-year-old multiparous patient for preconception counseling. She is extremely worried about her risk of having a baby with spina bifida. Five years ago, this patient delivered a baby with anencephaly who died shortly after birth. What is the most appropriate counsel for this woman regarding future pregnancies? a. She does not have a recurrence risk of a neural tube defect above that of the general population. b. She has an increased risk of having another baby with anencephaly because she is more than 35 years old. c. When she becomes pregnant, she should undergo diagnostic testing for fetal neural tube defects with a first-trimester CVS. d. When she becomes pregnant, she should avoid hyperthermia in the first trimester because both maternal fevers and the use of hot tubs have been associated with an increased risk of neural tube defects. e. She has a recurrence risk of having another baby with a neural tube defect of less than 1%. https://facebook/groups/medclick/
Posted on: Tue, 27 May 2014 06:00:35 +0000
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