A 40-year-old client, pregnant with her first child, arrives for a prenatal visit. What perinatal risk factors should the nurse keep in mind when planning this client's care? Select all that apply
1. Miscarriage
2. Maternal death
3. Perinatal morbidity
4. Potential for multiple births
5. Maternal chronic health conditions
1, 2, 3, 5
Explanation:
1. The rate of miscarriage is higher in pregnant women over age 35.
2. The risk of maternal death is higher for women over age 35 and even higher for women age 40 and older.
3. The rate of perinatal morbidity is higher in pregnant women over age 35.
4. There is no evidence to support that pregnant women over the age of 35 or 40 have a greater potential for multiple births.
5. Women over the age of 40 and older are more likely to have chronic medical conditions that can complicate a pregnancy.
You might also like to view...
Which concept should the nurse keep in mind when developing a plan of care for the patient with intrinsic acute kidney injury (AKI)?
A) This condition is potentially and easily reversible. B) This condition in not reversible. C) This condition may not result in prompt recovery. D) This condition is caused by chronic kidney disease.
An older adult patient tells the nurse she is ingesting a fat-soluble vitamin every day to boost her endocrine system. For what age-related change does the nurse recognize the patient is addressing by taking this vitamin?
1. The ability to absorb fat-soluble vitamins declines with aging. 2. Lipase production is increased and results in fat intolerance. 3. Older patients have increased resistance to insulin. 4. Indigestion increases with aging due to decreased lipase production.
Which laboratory value indicates to you that the client may have allergic asthma?
A. Eosinophil count of 1200 cells/mm3 (13%) B. Total white blood cell count of 9080 cells/mm3 (100%) C. Total absence of macrophages in the differential white blood cell count D. Band neutrophil count of 2880 cells/mm3 (32%) and a segmented neutrophil count of 1980 cells/mm3 (22%)
The nurse is conducting an assessment of the 38-year-old male who is requesting assistance with weight loss. The nurse determines the client has abdominal obesity based on the waist circumference of which of the following?
A) Greater than 30 in C) Greater than 40 in B) Greater than 35 in D) Greater than 45 in