After receiving elevated MSAFP screening results, what should the nurse prioritize discussing with the client?

When a client receives elevated maternal serum alpha-fetoprotein (MSAFP) screening results, it is crucial for the nurse to prioritize a discussion about the need for further testing. Elevated MSAFP levels can be associated with several conditions, such as neural tube defects, abdominal wall defects, or even certain chromosomal abnormalities. Therefore, acknowledging the need for further investigation allows for a clearer understanding of the underlying situation and facilitates timely medical interventions or preparations for potential complications.

Further testing often includes a detailed ultrasound, amniocentesis, or additional blood tests that can provide more information on the health of the fetus and the status of the pregnancy. By prioritizing this discussion, the nurse ensures that the client is informed and prepared for the next steps, which is essential for optimal maternal and fetal outcomes. This conversation also provides an opportunity for the nurse to offer support and address any concerns the client may have regarding the results and what they mean for their pregnancy.