Risk factors tend to be interrelated and cumulative in their effect. While planning the care for a laboring woman with diabetes mellitus, the nurse is aware that she is at a greater risk for:
a. Oligohydramnios.
b. Polyhydramnios.
c. Postterm pregnancy.
d. Chromosomal abnormalities.
B
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A Prolonged rupture of membranes, intrauterine growth restriction, intrauterine fetal death, and renal agenesis (Potter syndrome) all put the patient at risk for developing oligohydramnios.
B Polyhydramnios or amniotic fluid in excess of 2000 ml is 10 times more likely to occur in diabetic rather than nondiabetic pregnancies. This will put the mother at risk for premature rupture of membranes, premature labor, and postpartum hemorrhage.
C Anencephaly, placental insufficiency, and perinatal hypoxia all contribute to the risk for postterm pregnancy.
D Maternal age greater than 35 and balanced translocation (maternal and paternal) are risk factors for chromosome abnormalities.
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