When caring for a laboring client with oligohydramnios, what ...

[viki]

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

Question 2

As an advocate for the child undergoing bone-marrow aspiration,the nurse would most appropriately suggest
 
  1. general anesthesia.
  2. conscious sedation.intravenou s narcotics ten minutesbefore the procedure.
  4. oral pain medication for discomfortafter the procedure.

[abctaiwan]

Answer to Question 1

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.

Answer to Question 2

Answer:2
Rationale:For the child undergoing repeated procedures,it is important for the child to be sedated prior to and during the initial procedure.General anesthesia is not necessary for bone-marrow aspiration.Narcotic s alone will not provide appropriate sedation to keep the child from remembering the procedure. While oral pain medication postprocedure is not inappropriate if discomfort exists,it isot the best answer. The child will have great anxiety and discomfort during the procedures and prior to future procedures.

[viki]

Excellent

[ktidd]

TYSM