Maternal / Newborn Question #3


The nurse caring for a pregnant client will make a referral for genetics consultation. Which finding supports the referral for genetic counseling? Select all that apply.


  1. Two previous miscarriages
    • Rationale:
  2. Client’s 3-year-old daughter has Down’s Syndrome
    • Rationale:
  3. Client is 32 years of age.
    • Rationale:
  4. Positive alpha-fetoprotein test.
    • Rationale:



Indications for genetic referral should be made since family history exists, positive alpha-fetoprotein is found, and two miscarriages have occurred. Option C is incorrect since the maternal age is to be 35 years or greater at the expected time of delivery.

Learning Outcomes

Test Taking Tip

Video Rationale