Q The Nurse

U.S. birth rates declined last year for women in their teens, 20s and – surprisingly – their 30s, leading to the fewest babies in 30 years, according to a government report released Thursday. The provisional report, based on a review of more than 99 percent of the birth certificates filed nationwide, counted 3.853 million births last year. That’s the lowest tally since 1987. Births have been declining since 2014, but 2017 saw the greatest year-to-year drop – about 92,000 less than the previous year.