A laboring patient's obstetrician has suggested amniotomy as a method for creating stronger contractions and facilitating birth. The patient asks, "What are the advantages of doing this?" What should the nurse cite in response?
1. Contractions elicited are similar to those of spontaneous labor.
2. Amniotomy decreases the chances of a prolapsed cord.
3. Amniotomy reduces the pain of labor and makes it easier to manage.
4. The patient will not need an episiotomy.
1
Rationale 1: Contractions after amniotomy are similar to those of spontaneous labor.
Rationale 2: A disadvantage of amniotomy is the increased chance of prolapsed cord, especially if the fetal presenting part is not well applied against the cervix.
Rationale 3: A disadvantage of amniotomy is that it can increase pain and make labor more difficult to manage.
Rationale 4: There is no correlation between amniotomy and episiotomy.
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