The nurse knows that the maternal risks associated with postterm pregnancy include: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Polyhydramnios.
2. Small-for-gestational-age infant.
3. Large-for-gestational-age infant.
4. Forceps-assisted delivery.
5. Perineal damage.
2,3,4,5
Rationale 1: Polyhydramnios is not associated with postterm pregnancy.
Rationale 2: In a postterm pregnancy, an infant can be small for gestational age, depending on the health of the placenta. If the placenta begins to deteriorate due to decreased perfusion, the infant might begin to lose muscle mass and subcutaneous fat because of decreased nutrition.
Rationale 3: In a postterm pregnancy, an infant might be large for gestational age, depending on the health of the placenta. With a healthy placenta, the fetus will thrive and become larger than average.
Rationale 4: A large-for-gestational-age infant might require forceps to assist with the birth.
Rationale 5: A postterm mother is more likely to have perineal damage due to the large size of the baby.
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