Gynaecology & Obstetrics A primigravida with abnormal sonographic findings found to have decreased alpha fetoprotein (AFP) levels. The fetus may have: A Anencephaly B Anterior abdominal wall defects C Renal anomalies D Down's syndrome 💡 Explanation A primigravida with abnormal sonographic findings found to have decreased alpha fetoprotein (AFP) levels. The fetus may have: ✓ Correct Answer: D. Down's syndrome