C. Healthy primigravidas experiencing normal pregnancies cannot be considered high risk solely because they are over age 35. Primigravidas over age 35 are a unique and rapidly increasing segment of the childbearing population. They become actively involved in educating themselves about pregnancy and birth, and they use a variety of professional and life experience skills to plan and control this experience.
D. A pregnant woman may be considered high risk for fetal or maternal reasons. Fetal problems may be associated with Down syndrome, which may or may not have been diagnosed. These infants often have associated physical defects. In addition, problems for an otherwise healthy fetus may arise when maternal complications ad- affect the intrauterine environment. With advancing age, women are more likely to develop medical disorders such as diabetes, hypertension, cardiovascular disease, and uterine fibroids. These conditions may adversely affect pregnancy and threaten the health, and even the life, of both the mother and the fetus.