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Non-directive counselling – DSD — RACP Paediatrics MCQ

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EasyGeneticsNon-directive counselling – DSDRACP Paediatrics

Parents of a newborn with ambiguous genitalia are overwhelmed and ask the geneticist to 'just tell us what to do' regarding genetic testing. What counselling approach is most appropriate?

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Correct answer: E — Non-directive genetic counselling

Non-directive genetic counselling is the standard approach. The counsellor provides accurate, balanced information about testing options, potential results, and implications, empowering the family to make an informed autonomous decision. Directive advice (telling families what to do) is inappropriate except in rare situations where testing is medically urgent and delay could cause harm.

Reference: RACP Paediatric Curriculum – Genetics/Ethics; HGSA – Genetic Counselling Guidelines