It is more . You need to get triple test and Quadraple test and other markers in ultrasound should also be seen like Nasal bone , faciomaxillary angle and tricuspid regurgitation.
Next Steps
If risk after quadruple test is > 1:250 she will need an amniocentesis. If risk is between 1:250. -1:1000 she can do NIPT . If risk is less than 1:1000 she can do level 2 ultrasound
Health Tips
Continue Fol 123 and Mothers Horlicks
Avoid papaya and pineapple
Avoid lifting weights and stress and intercourses and travel and dehydration