A nurse is educating a woman who is 38 years old and experiencing her first pregnancy. When planning care for this woman, what information does the nurse take into consideration? (Select all that apply.)
A.
Chronic health conditions are more likely in this age group.
B.
Genetic screening is not recommended for women over age 30.
C.
Gestational diabetes is seen more frequently in this age group.
D.
Multiple gestations are rarely seen in women over age 35.
E.
Older primigravidas are at higher risk for cesarean birth.
ANS: A, C, E
Older women who are pregnant have unique potential problems. These include a higher likelihood of chronic illness that impacts the pregnancy; obstetrical complications such as vaginal bleeding, preeclampsia, multiple gestation, gestational diabetes, preterm labor, dysfunctional labor, and cesarean birth; and increased incidence of Down syndrome, for which genetic screening should be offered.
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