What are the five factors a couple should consider as they decide whether to have children

Emotional maturity, desire for parenthood, health considerations, management skills, and financial considerations.

Explanation:

there are no options provided but you can choose among the following gender-neutral pronouns: zir, hir, eir, vis, tem, eir.

in the normal course of maintaining a pronoun-antecedent agreement, we could have used the words his or her but since we are also required to use gender-neutral language, we need to replace it with its equivalent gender-neutral pronoun.