A nurse is providing education to a pregnant client who is 42 years old.
The nurse explains that advanced maternal age increases the risk of which condition during pregnancy?
Gestational diabetes
Preeclampsia
Preterm labor
Placenta previa.
The Correct Answer is B
The correct answer is
B. Preeclampsia.
Preeclampsia is a condition that causes high blood pressure and protein in the urine during pregnancy. It can lead to serious complications for the mother and the baby, such as seizures, organ damage, growth restriction, and placental abruption.
Advanced maternal age (35 years or older) is one of the risk factors for preeclampsia. Other risk factors include chronic hypertension, kidney disease, diabetes, obesity, multiple gestation, and history of preeclampsia.
A. Gestational diabetes.
Statement is wrong because gestational diabetes is a condition that causes high blood sugar levels during pregnancy.
It can affect the health of the mother and the baby, such as increasing the risk of macrosomia, cesarean delivery, hypoglycemia, and future diabetes.
However, advanced maternal age is not a major risk factor for gestational diabetes.
The main risk factors are obesity, family history of diabetes, previous gestational diabetes, and certain ethnicities.
C. Preterm labor.
Statement is wrong because preterm labor is when contractions start before 37 weeks of pregnancy and lead to cervical changes.
It can result in premature birth, which can cause health problems for the baby, such as breathing difficulties, bleeding in the brain, and infections.
Advanced maternal age is not a direct risk factor for preterm labor.
The main risk factors are multiple gestation, history of preterm birth, cervical insufficiency, infection, placental problems, and certain medical conditions.
D. Placenta previa.
Statement is wrong because placenta previa is when the placenta covers part or all of the cervix.
It can cause painless vaginal bleeding during pregnancy and delivery complications, such as hemorrhage and cesarean delivery.
Advanced maternal age is not a strong risk factor for placenta previa.
The main risk factors are previous cesarean delivery, multiple gestation, smoking, and previous uterine surgery.
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Related Questions
Correct Answer is C
Explanation
The correct answer is choice C.Being older than 25 years at the time of pregnancy is a risk factor for developing gestational diabetes.Gestational diabetes is a type of diabetes that can develop during pregnancy in women who don’t already have diabetes.It occurs when the body can’t make enough insulin during pregnancy.
Choice A is wrong because being underweight before pregnancy is not a risk factor for gestational diabetes.In fact, obesity is one of the biggest risk factors for this condition.
Choice B is wrong because having a history of infertility or miscarriage is not a risk factor for gestational diabetes.However, having a family history of diabetes is a risk factor.
Choice D is wrong because having a family history of autoimmune disease is not a risk factor for gestational diabetes.
Autoimmune diseases are conditions where the immune system attacks the body’s own tissues, such as type 1 diabetes or rheumatoid arthritis.Gestational diabetes is not an autoimmune disease, but rather a disorder of insulin resistance.
Normal ranges for blood glucose levels during pregnancy are:
• Fasting: less
Correct Answer is D
Explanation
The correct answer is choice D. Notify the provider.
A blood glucose level of 200 mg/dL (11.1 mmol/L) after a meal is too high for a pregnant woman with gestational diabetes and indicates poor glycemic control.
The provider should be informed of this result and may adjust the woman’s treatment plan accordingly.
Choice A is wrong because insulin is not always prescribed for gestational diabetes.
Some women can manage their blood sugar levels with diet and exercise alone.
Insulin should only be administered as prescribed by the provider and not based on a single test result.
Choice B is wrong because drinking water will not lower the blood glucose level significantly.
Water can help prevent dehydration and constipation, which are common problems in pregnancy, but it does not affect insulin sensitivity or glucose metabolism.
Choice C is wrong because repeating the test in 15 minutes will not change the outcome.
A blood glucose level of 200 mg/dL (11.1 mmol/L) after a meal is clearly abnormal and needs immediate attention.
Delaying the notification of the provider may increase the risk of complications for the woman and her baby.
According to Diabetic.org, the normal blood glucose levels for gestational diabetes are:
• Fasting: less than 95 mg/dL (5.3 mmol/L)
• One hour after a meal: less than 140 mg/dL (7.8 mmol/L)
• Two hours after a meal: less than 120 mg/dL (6.7 mmol/L)
These levels may vary slightly depending on the clinic or lab, but
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