The nurse performs risk assessments on clients who are pregnant. Which of the following pregnant women would be most at risk for having a baby with Down syndrome?
A) A pregnant woman over 40 years of age
B) A pregnant woman who smokes tobacco during pregnancy
C) A pregnant woman who drinks alcohol during pregnancy
D) A pregnant woman who experiences a threatened abortion
A
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Down syndrome, also called trisomy 21, is a genetic disorder often associated with mothers who give birth after age 40 . Tobacco and alcohol are teratogens that affect the fetus in multiple ways, but do not carry a higher risk of Down syndrome. A woman who experiences a threatened abortion may go on to have a normal baby; otherwise, the baby may be expelled. This condition also is not directly related to Down syndrome.
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