The nurse is preparing a brochure for couples considering pregnancy after the age of 35. Which statements should be included? During pregnancy after age 35: (Select all that apply')
1. There is a decreased risk of Down syndrome.
2. Pre-existing medical conditions can complicate pregnancy.
3. Very preterm births are more common.
4. Amniocentesis can be performed to detect genetic anomalies.
5. Gestational diabetes is no longer a risk.
Correct
2, 3, 4
Rationale:
1. Down syndrome risk increases when maternal age exceeds 34 years.
2. The older a woman is, the more likely she is to have developed chronic health care issues such as type II diabetes or hypertension. The presence of chronic conditions can further complicate pregnancy in women over 35.
3. Very preterm births and low birth weight are more common in pregnancy of women over 35.
4. Amniocentesis is offered to women over 35 due to the increased of trisomy 18 and 21. However, amniocentesis has risks, and is not performed on all women over 35. In addition, some women would not terminate a pregnancy regardless of the findings of the amniocentesis, and therefore refuse this test.
5. The older a client is during pregnancy, the higher her risk of developing gestational diabetes.
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At a well-child visit, the parents of a 6-year-old express concerns over their child's increased complaints of fatigue. On questioning, the parent state that their child is getting 8 to 10 hours of sleep. The nurse informs the parents that:
a. This is an adequate amount of sleep b. The child is not getting enough sleep c. The child is getting too much sleep d. The child needs a nap at noon
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What should be considered as potentially infectious when providing care to a newborn of a client who is HIV positive? Select all that apply
1. Feces 2. Urine 3. Blood 4. Soiled linens 5. Feeding bottle