<prompt> Answer this question truthfullyWhat is the recommended next step for a pregnant patient with elevated AFP alpha-fetoprotein levels?  <response>: <reason> The recommended next step for a pregnant patient with elevated AFP levels is to undergo a fetal ultrasound. AFP is a protein produced by the developing fetus, and elevated levels in the mothers blood can indicate a neural tube defect, multiple gestation, or other fetal abnormalities. A fetal ultrasound can help to confirm or rule out these potential issues and provide additional information about the health and development of the fetus. If abnormalities are detected, further testing or consultation with a specialist may be recommended. 