Final answer:
An RT might suspect complications typical in advanced maternal age pregnancies, such as gestational diabetes, pregnancy-induced hypertension, and increased risk of fetal chromosomal abnormalities like trisomy 21.
Step-by-step explanation:
A Respiratory Therapist (RT) reviewing the chart of a laboring mother of advanced maternal age would suspect specific complications associated with later-in-life pregnancies. As maternal age increases, so does the risk for gestational diabetes, pregnancy-induced hypertension, and the possibility of delivering a baby with chromosomal abnormalities, such as trisomy 21 (Down syndrome). Figure 15.11 directly correlates the increase in the incidence of fetuses with trisomy 21 with the mother's age, indicating a higher risk factor for advanced maternal age pregnancies. Additionally, there can be a higher risk of miscarriage, preterm birth, and the need for cesarean delivery.
These concerns not only highlight potential issues for the mother herself but also underscore risks to the neonate. For instance, advanced maternal age may affect labor progression, potentially leading to stalled labor, which may warrant medical intervention, such as the use of oxytocin (Pitocin) to induce or augment labor.