Chorionic Villous Testing Versus Amniocentesis After Abnormal Noninvasive Prenatal Testing.

In the setting of a normal first-trimester ultrasound, an amniocentesis may be a better option than chorionic villous sampling for invasive diagnostic testing after a cell-free DNA high risk for trisomy 13, given the high rates of confined placental mosaicism. In unaffected fetuses, other evaluations should be considered depending on the cell-free DNA results, including maternal karyotyping for monosomy X, uniparental disomy testing for chromosomes with imprinted genes, serial growth scans for trisomy 16, and a workup for maternal malignancy for multiple aneuploidies or autosomal monosomy.

Describing the learning curve of novices for the diagnosis of paediatric distal forearm fractures using point-of-care ultrasound.

Purpose: The learning curve of nurse practitioners (NPs) to accurately diagnose paediatric distal forearm fractures using point-of-care ultrasound (POCUS) was investigated.

Methods: Each NP's learning curve was calculated as cumulative diagnostic accuracy against a number of scans performed. The curve's plateau represented the attainment of competency.

Congenital myotonic dystrophy: An overlooked diagnosis not amenable to detection by sequencing.

Objective: To increase the clinical awareness of the need for genetic evaluation for congenital myotonic dystrophy (CDM1) in cases of fetal akinesia sequence and idiopathic polyhydramnios.

Methods: Retrospective case review.

Results: A 27 y.

Parents not fully involved in care of children in hospital.

Parental participation in the care of sick children in hospital is often limited to basic 'mothering work', with parents often unsure as to what is expected of them, delegates at the recent paediatric nursing conference heard.

Call for more community nurse services.

Children stay in hospital for longer than is necessary or are cared for by their parents at home without adequate support because of the shortage of paediatric community nursing services around the country, according to the Chief Nursing Officer for Wales.