The nurse is monitoring a client who is receiving an amnioinfusion. Which assessments must the nurse perform to prevent a serious complication? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Color of amniotic fluid
2. Maternal blood pressure
3. Cervical effacement
4. Uterine resting tone
5. Fluid leaking from the vagina
2, 4, 5
Explanation: 2. Blood pressure should be monitored along with other vital signs.
4. The nurse should monitor contraction status (frequency, duration, intensity, resting tone, and associated maternal discomfort).
5. The nurse should continually check to make sure the infused fluid is being expelled from the vagina.
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