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One short paragraph per subquestion. 2. During a pelvic examination, a 42-year o

ID: 61079 • Letter: O

Question

One short paragraph per subquestion.

2. During a pelvic examination, a 42-year old woman learned that she was pregnant. The physician was concerned about her age as it was her first pregnancy.

a. Do women older than the age of 40 have an increased risk of bearing fetuses with birth defects?

b. If a 42-year old woman became pregnant, what prenatal diagnostic test would likely be performed?

c. What genetic abnormalities might be detected?

d. List the head and neck clinical features of Down's syndrome and Fetal Alcohol Syndrome.

Explanation / Answer

Ans-a. Having first baby after 40 is bit complicated because the cervical dilation is difficult at later stages as the flexibility decreases and miscarriage chances are also increased as the hormonal level also lowers. Ans- b . Screening test for genetic diseases like Down syndrome, amniocentesis, chorionic vili sampling is suggested. Ans -d.neck stiffness and pain may be due to joints dislocation