The clinical nurse coordinator is reviewing the care of clients who undergo artificial rupture of membranes (AROM) by way of amniotomy with a group of nursing students. Which student statement indicates that the teaching has been effective?
1. "Amniotomy is contraindicated for use in labor augmentation."
2. "For women who undergo artificial rupture of membranes, vaginal examinations should be limited."
3. "Women who undergo artificial rupture of membranes should be advised that they will experience a ‘dry birth.'"
4. "In most cases, it is appropriate to assess the fetal heart rate (FHR) right after the artificial rupture of membranes is performed."
2
Explanation:
1. Amniotomy is an accepted method of labor augmentation.
2. Following .AROM, because there is now an open pathway for organisms to ascend into the uterus, the number of vaginal examinations must be kept to a minimum to reduce the chance of introducing an infection.
3. Women need to know that amniotic fluid is constantly produced because some women may worry that they will experience a "dry birth."
4. In all cases, the .FHR is assessed just before and immediately after the amniotomy, and the two FHR assessments are compared.
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