After identifying 47,XX,+21 in a prenatal patient, what is the next recommended step?

Identifying 47,XX,+21 indicates a prenatal diagnosis of Down syndrome (Trisomy 21). After establishing this diagnosis, the next recommended step is to report the result and suggest further testing. This is important for several reasons.

First, communicating the findings allows parents to understand the implications of the diagnosis and to consider options moving forward. It is vital to provide them with appropriate counseling about what the diagnosis means for the fetus, potential health issues, and to clarify any concerns they might have regarding the condition.

Additionally, suggesting further testing may include offering non-invasive prenatal testing (NIPT) for confirmation or discussing the possibility of additional assessments that can help in understanding the extent of any associated anomalies and the overall prognosis. This step is crucial for ensuring that parents can make informed decisions about their pregnancy.

The other choices are not appropriate responses to this situation. A surgical procedure would not be suitable for addressing a chromosomal abnormality like Down syndrome, as there is no cure that can be surgically applied. Waiting for natural resolution disregards the need for immediate and informative intervention for the parents. Discontinuing follow-up after documenting findings would leave the parents without necessary support and information to make informed choices regarding their pregnancy. Therefore, reporting the result and