The age of elderly primigravida women is -

Appeared in: UPPSC 2023

Explanation

An elderly primigravida is defined as a woman experiencing her first pregnancy at or above the age of 30-35 years.
This age group is considered a 'high-risk' pregnancy due to an increased likelihood of maternal and fetal complications.
While modern obstetrics often uses 35 as the cutoff for 'advanced maternal age,' the traditional definition of elderly primigravida starts at age 30.
Complications include a higher risk of pre-eclampsia, gestational diabetes, prolonged labor, and congenital abnormalities in the fetus.

Option A: A pregnancy at 15 years of age is classified as an adolescent or teenage pregnancy, not an elderly primigravida.
Option B: A pregnancy at 25 years of age falls within the optimal reproductive age range (typically 20-29 years), which is associated with the lowest risk of complications.
Option D: A pregnancy at 20 years of age is also considered part of the optimal childbearing period, not elderly primigravida.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Definition of Elderly Primigravida as background academic context rather than a clinical decision trigger.
Nurses must identify elderly primigravida patients as high-risk and ensure they receive meticulous antenatal supervision, including frequent monitoring of blood pressure, blood glucose, and fetal well-being.
Patient education is critical. The nurse should counsel the woman on the signs and symptoms of complications like pre-eclampsia (headaches, visual changes, swelling) and the importance of immediate reporting.
Genetic counseling and offering prenatal screening tests (e.g., nuchal translucency, non-invasive prenatal testing) are key nursing responsibilities due to the increased risk of chromosomal abnormalities.

How to Approach the Question

First, identify the key term in the question: 'elderly primigravida'.
Recall the definition of this term from your obstetrical nursing knowledge. 'Primi' means first, and 'gravida' refers to pregnancy.
Focus on the word 'elderly' in the context of a first pregnancy. This implies an age beyond the optimal childbearing years.
Evaluate the given options. Ages 15, 20, and 25 are either adolescent or within the prime reproductive window.
Select the option that represents the threshold for advanced maternal age, which is traditionally considered to be 30 years and above.

Concept Tested & Keywords

Concept Tested: Definition of Elderly Primigravida
Stem keywords: elderly primigravida, age
Lead-in keywords: BEST, MOST RELEVANT CLUE
Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.
Negative lead-in flag: false

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E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 24-32

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Attempt every question from this paper in a timed mock, then review the full solution for each one.