When caring for a client with oligohydramnios, on what should the nurse focus? Select all that apply
1. Induction is typically scheduled.
2. Early decelerations are more likely.
3. Fetal pulmonary hypoplasia can develop.
4. There is an increased risk of cord compression.
5. Labor progress is often more rapid than average.
1, 2, 3, 4
Explanation:
1. As soon as the fetus is term, induction is typically scheduled because the fetus is at an increased risk for intrauterine fetal demise.
2. Decreased amniotic fluid can contribute to fetal head compression, which can manifest itself as early decelerations.
3. Because there is less fluid available for the fetus to use during fetal breathing movements, pulmonary hypoplasia may develop.
4. Less amniotic fluid lessens the cushioning effect, and cord compression is more likely.
5. Labor progress is slower than average due to the decreased fluid volume.
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