When caring for a laboring patient with oligohydramnios, the nurse should be aware that:
1. There is an increased risk of cord compression.
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.
3. Labor progress is often more rapid than average.
4. Early decelerations are more likely.
Correct Answer: 1,2,4
Rationale 1: Less amniotic fluid lessens the cushioning effect, and cord compression is more likely.
Rationale 2:
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.
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