The client at 38 weeks' gestation has been diagnosed with oligohydramnios. Which statement indicates that teaching has been effective?
1. "My gestational diabetes may have caused this problem to develop."
2. "When I go into labor, I should come to the hospital right away."
3. "This problem is common, and will likely occur with my next pregnancy."
4. "Women with this condition usually go into labor after their due date."
2
Rationale:
1. Gestational diabetes can lead to polyhydramnios, but does not cause oligohydramnios.
2. The incidence of cord compression and resulting fetal distress is high when there is an inadequate amount of amniotic fluid to cushion the umbilical cord. Thus the client with oligohydramnios should come to the hospital in early labor to detect any fetal intolerance of labor that might develop.
3. Oligohydramnios occurs in 1–3% of pregnancies. It rarely recurs in subsequent pregnancies.
4. The risk of fetal demise is increased with oligohydramnios. Labor is usually induced when the client reaches term pregnancy to prevent fetal demise.
You might also like to view...
The nurse is caring for a patient who has developed acute respiratory distress syndrome (ARDS) after smoke inhalation. Based on the pathologic changes in ARDS, the nurse expects what outcome during the first several hours?
A) Improvement in airway patency with bronchodilator therapy B) Persistent and worsening hypoxia despite mechanical ventilation C) Evidence of hypercarbic respiratory failure with compensation D) General fluid volume deficit from capillary permeability increase
Which of these statements about a client with one S gene (HbSA) who has sickle-cell trait is TRUE?
a. The client is asymptomatic and cannot pass the disease on to offspring. b. The client is asymptomatic but is a carrier of the disease and may pass it on to offspring. c. The client is symptomatic but cannot pass the disease on to offspring. d. The client is symptomatic but is a carrier of the disease and may pass it on to offspring.
The nurse is assessing the abdomen of the client with an undiagnosed disorder. In which sequence would the nurse conduct the abdominal assessment? (Use all options.)
A) Palpation B) Inspection C) Auscultation D) Percussion
A family of four has been admitted with smoke inhalation and minor injuries after a serious house fire. This family will most likely experience some distress in recovering from this event
The nurse knows which of the following to be characteristics more common in distressed families? (Select all that may apply.) a. Basic needs may be neglected. b. There is poor communication between family members. c. Family roles are clearly defined. d. Family experiences financial instability. e. Anger control issues are present in one or more members. f. Substance abuse is present in one or more members.