The nurse is admitting a patient who was diagnosed with hydramnios. The patient asks why she has developed this condition. The nurse should explain that hydramnios is sometimes associated with:
1. Chest pain, dyspnea, tachycardia, and hypotension.
2. Postmaturity syndrome.
3. Renal malformation or dysfunction.
4. Maternal diabetes.
5. Large-for-gestational-age infants.
Correct Answer: 1,2,4
Rationale 1: Chest pain, dyspnea, tachycardia, and hypotension are symptoms of amniotic embolism, which occurs more commonly with hydramnios. Hydramnios occurs in 10–20% of pregnant diabetics.
Rationale 2: Renal malformation or dysfunction and postmaturity can cause oligohydramnios.
Rationale 3: Renal malformation or dysfunction and postmaturity can cause oligohydramnios.
Rationale 4: Hydramnios is not associated with maternal diabetes.
Rationale 5: Large-for-gestational-age infants and placenta previa are not associated with hydramnios.
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