A 35-year-old G4P3 at 18 weeks presents with sequential screening( Dual and then triple marker screening) of 1:170 for Down syndrome. You should do which of the following?

Correct Answer: Offer genetic counseling and perform Amniocentesis
Description: At age 35 should the patient should be offered genetic counseling and Amniocentesis. CVS is not appropriate at 18 weeks' gestation If required; the invasive test of choice here is Amniocentesis.
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