An Maternal Serum Alpha-Fetoprotein Screening (MSAFP)screening indicates an elevated level of alpha-fetoprotein.The test is repeated,and again the level is reported as higher than normal.What is the next step in the assessment sequence to determine the well-being of the fetus?

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Ultrasound is the next step in the assessment sequence to determine the well-being of the fetus after an elevated MSAFP screening result. Ultrasound can be used to confirm the due date, identify multiple pregnancies, examine the anatomy of the baby, and detect any potential abnormalities. Other options like amniocentesis or percutaneous umbilical blood sampling (PUBS) may be considered if further testing or confirmation is needed, but they may also carry higher risks and are not typically the first choice for follow-up after an MSAFP screening result. Biophysical profile (BPP) is a prenatal test that checks the developing fetus's well-being and is typically performed in the third trimester, but it may not be necessary in this case.

An Maternal Serum Alpha-Fetoprotein Screening (MSAFP)screening Indicates an Elevated Level