A nurse midwife is reviewing the history of a client at 43 weeks' gestation. The client informs the nurse that she was supposed to give birth a few weeks ago, but she has still not gone into labor. Which of the following details of information about the client may have possibly increased her risk for post-term pregnancy?

Question

Quizplus · Accepted Answer

A client receiving a high dose of salicylates increases her risk for post-term pregnancy. Salicylates interfere with the synthesis of prostaglandins, the substances responsible for the initiation of labor. The other risk factors for post-term pregnancy include primiparity, male gender of the fetus, a prior post-term pregnancy and genetics. Inaccurate dating is the common cause of post-term pregnancies. Women who have long menstrual cycles do not ovulate on day 14 of the cycle, so women ovulating on day 25 or 30 may give birth late by as many as 17 days.

A Nurse Midwife Is Reviewing the History of a Client