For which reason should the nurse suspect hydramnios in a ...

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For which reason should the nurse suspect hydramnios in a pregnant client?
 
  1. The client is pregnant with twins.
  2. The quadruple screen comes back positive.
  3. There is less amniotic fluid than normal for gestation.
  4. The fundal height increases disproportionately to the gestation.

Question 2

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.

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Answer to Question 1

4
Explanation:
1. Hydramnios is not suspected simply by virtue of a twin gestation.
2. A quadruple screen is not used to determine hydramnios.
3. Hydramnios occurs when there is more amniotic fluid than normal for gestation.
4. The increased amount of amniotic fluid will increase the fundal height disproportionately to the gestation.

Answer to Question 2

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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Correct answers!

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