When reviewing the prenatal record of a client at 42 weeks' gestation, the nurse recognizes that induction of labor is indicated based on the finding of:
a. reduced amniotic fluid volume.
b. cervix 2 cm at last prenatal visit.
c. fundal height measured at the xyphoid process.
d. 1-pound weight gain at each of the last two weekly visits.
ANS: A
Reduced amniotic fluid volume (oligohydramnios) often accompanies placental insufficiency and can result in fetal hypoxia. Lack of adequate amniotic fluid can result in umbilical cord compression; cervix 2 cm at last prenatal visit, fundal height measured at the xyphoid process, and 1-pound weight gain at each of the last two weekly visits are normal prenatal findings for a 42-week gestation.
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