The nurse is preparing a brochure for couples considering ...

[Arii_bell]

The nurse is preparing a brochure for couples considering pregnancy after the age of 35. Which statements should be included? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
 
  1. There is a decreased risk of Down syndrome.
  2. Preexisting 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.

Question 2

In caring for a client with a uterine rupture, the nurse determines which nursing diagnoses to be appropriate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
 
  1. Gas Exchange, Impaired
  2. Fear related to unknown outcome
  3. Coping, Ineffective
  4. Mobility: Physical, Impaired
  5. Anxiety

[pratush dev]

Answer to Question 1

2,3,4
Rationale 1: Risk of Down syndrome risk increases when maternal age exceeds 34 years.
Rationale 2: The older a woman is, the more likely she is to have developed chronic healthcare issues such as type 2 diabetes or hypertension. The presence of chronic conditions can further complicate pregnancy in women over 35.
Rationale 3: Very preterm births and low birth weight are more common in pregnancy of women over 35.
Rationale 4: Amniocentesis is offered to women over 35 due to the increased risk of trisomy 18 and 21.
Rationale 5: The older a patient is during pregnancy, the greater her risk of developing gestational diabetes.

Answer to Question 2

1, 2, 3, 5
Explanation: 1. Gas Exchange, Impaired diagnosis could apply to both mother and fetus.
2. The client would experience fear related to an unknown outcome.
3. Ineffective coping would be due to emergent situation secondary to uterine rupture.
5. There will be anxiety related to emergency procedures and unknown fetal outcome.