After teaching a group of nursing students about the impact of pregnancy on the older woman, the instructor determines that the teaching was successful when the students state which of the following?
A) "The majority of women who become pregnant over age 35 experience complications.".
B) "Women over the age of 35 who become pregnant require a specialized type of assessment.".
C) "Women over age 35 and are pregnant have an increased risk for spontaneous abortions.".
D) "Women over age 35 are more likely to have substance abuse problems.".
C
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Numerous studies have shown that increasing maternal age is a risk factor for infertility and spontaneous abortions, gestational diabetes, chronic hypertension, preeclampsia, preterm labor and birth, multiple pregnancy, genetic disorders and chromosomal abnormalities, placenta previa, IUGR, low Apgar scores, and surgical births (Bayrampour & Heaman, 2010). However, even though increased age implies increased complications, most women today who become pregnant after age 35 have healthy pregnancies and healthy newborns. Nursing assessment of the pregnant woman over age 35 is the same as that for any pregnant woman. Women of this age have the same risk for substance abuse as any other age group.
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