When caring for a laboring client with oligohydramnios, what should the nurse be aware of? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Increased risk of cord compression
2. Decreased variability
3. Labor progress is often more rapid than average
4. Presence of periodic decelerations
5. During gestation, fetal skin and skeletal abnormalities can occur
1, 2, 4, 5
Explanation: 1. During the labor and birth, the lessened amounts of fluid reduce the cushioning effect for the umbilical cord, and cord compression is more likely to occur.
2. The nurse should evaluate the EFM tracing for the presence of nonperiodic decelerations or other nonreassuring signs (such as increasing or decreasing baseline, decreased variability, or presence of periodic decelerations).
4. The nurse should evaluate the EFM tracing for the presence of nonperiodic decelerations or other nonreassuring signs (such as increasing or decreasing baseline, decreased variability, or presence of periodic decelerations).
5. During the gestational period, fetal skin and skeletal abnormalities may occur because fetal movement is impaired as a result of inadequate amniotic fluid volume.
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a. Hip replacement b. Hysterectomy c. Abdominal aorta aneurism (AAA) repair d. Appendectomy