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Cancel eaqng.elsevier.com X Quit Report content error Study mode ON Question 22 of 30 Expectant parents have learned their child will be born with Down syndrome. The nurse is assisting the family in gathering data as they decide whether to continue the pregnancy. Which question from the parents will help gather data concerning quality of life? "What level of functioning can we expect for this child?" "What are the laws related to abortion in our state?" "Where would we go for help since we live in a very rural area?" "What kinds of treatments are there available to address Down syndrome?"

Transcript

00:01 Okay, so i see that you need help with this.

00:03 And so it says a 39 -year -old japanese woman, and her name is naoko, who is in her 12th week of pregnancy, found out her baby has down syndrome through a prenatal diagnosis.

00:32 Her doctor informed her that she needs to decide whether to continue the pregnancy or to have an abortion by the 22nd week, which is the time limit for abortion.

00:51 The doctor also explained that if she chooses to give birth, the baby would be at high risk for heart disease and many may not live.

01:00 Naoko's husband is against having the baby because he's afraid of raising a disabled child in the potential discrimination.

01:08 So naoko's husband, no baby, and potential discrimination of their other two children who are seven and four years old may face due to having a disabled sibling.

01:29 However, nooko does not consider abortion, especially because she experienced a stillbirth three years ago.

01:36 Still birth three years ago.

01:43 Despite this difficult decision, they ultimately decide to have the baby.

01:47 Unfortunately, the baby passes away at 12 days after birth.

01:51 12 days after birth, baby passes due to heart disease.

02:01 Question one, how is down syndrome diagnosed before the baby is born? and then question two, do you agree with noiko's decision? why or why not? so for the first thing, they do a screening test.

02:16 That is the first step in diagnosing down syndrome during pregnancy.

02:21 And this test assesses the risk of the fetus having down syndrome, but doesn't confirm the condition.

02:29 Common screening tests include blood tests.

02:32 That measures the level of specific substances in the mother's blood and ultrasound scans to look for certain markers associated with down syndrome, such as increased nuktile translucency, fluid at the back of the baby's neck.

02:59 Then they do a diagnostic test.

03:07 If the screening tests indicate high risk of down syndrome, diagnostic tests are recommended to confirm the diagnosis...

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