When caring for a laboring patient with oligohydramnios, the nurse should be aware that: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. There is an increased risk of cord compression.
2. Respiratory support personnel should be standing by at the birth.
3. Labor progress is often more rapid than average.
4. Early decelerations are more likely.
5. During gestation, fetal skin and skeletal abnormalities can occur.
1,2,4,5
Rationale 1: Less amniotic fluid lessens the cushioning effect, and cord compression is more likely.
Rationale 2: There is less fluid available for the fetus to use during fetal breathing movements, therefore pulmonary hypoplasia can develop, which could cause respiratory difficulties at birth.
Rationale 3: Labor progress is slower than average due to the decreased fluid volume.
Rationale 4: Decreased amniotic fluid can contribute to fetal head compression, which manifests itself in early decelerations.
Rationale 5: These abnormalities can occur because of impaired fetal movement.
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