A client at 38 weeks' gestation is diagnosed with oligohydramnios. Which statement indicates that teaching has been effective?
1. "When I go into labor, I should come to the hospital right away."
2. "My gestational diabetes may have caused this problem to develop."
3. "Women with this condition usually go into labor after their due date."
4. "This problem is common and will likely occur with my next pregnancy."
1
Explanation:
1. 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.
2. Gestational diabetes can lead to polyhydramnios but does not cause oligohydramnios.
3. The risk of fetal demise is increased with oligohydramnios. Labor is usually induced when the client reaches term pregnancy to prevent fetal demise.
4. Oligohydramnios occurs in 1% to 3% of pregnancies. It rarely recurs in subsequent pregnancies.
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