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Reflective Questions 
Mrs. Wong, a first-time mother, is admitted to the birthing   suite in early labor after spontaneous rupture of membranes at home. She is   at 38 weeks of gestation with a history of abnormal alpha-fetoprotein levels at 16 weeks of pregnancy.
She   was scheduled for ultrasonography to visualize the fetus to rule out an open   spinal defect or Down syndrome, but never followed through. Mrs. Wong and her   husband disagreed about what to do (keep or terminate the pregnancy) if the   ultrasonography indicated a spinal problem, so they felt they did not want this information.
As the nurse, what priority data   would you collect from this couple to help define relevant  interventions to meet their   needs? 
How can you help this couple if   they experience a negative outcome in the birthing suite? What are your   personal views on terminating or continuing a pregnancy with a risk of a   potential anomaly? What factors may   influence your views? 
With the influence of the recent   Human Genome Project and the possibility of predicting open spinal defects earlier in   pregnancy, how will maternity care change in the future?


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