During a health history interview, a 38-year-old woman shares that she is thinking about having another baby.The nurse knows which statement regarding pregnancy after 35 years of age to be true?

Question

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The risk for Down's syndrome increases as a woman ages, from approximately 1 in 1340 at age 25 years to 1 in 353 at age 35 years.Fertility declines with advancing maternal age.Because the incidence of chronic diseases increases with age, pregnant women older than 35 years of age more often have medical complications, such as diabetes, obesity, and hypertension.Genetic counselling programs vary across Canada.The Society of Obstetricians and Gynaecologists of Canada recommends that all pregnant women be offered noninvasive screening for Down's syndrome, trisomy 18, and open neural tube defects.Invasive diagnostic procedures should be reserved for women whose findings exceed the set screen risk cutoff and for women who will be 40 years of age by the expected date of birth (EDB); they should also receive counselling about the risks of pregnancy loss with the procedures.Age alone is no longer recommended as a factor for appropriate risk assessment.Screening programs offer risk assessment based on biochemical and ultrasound markers.

During a Health History Interview, a 38-Year-Old Woman Shares That