Difficulty: Medium
Average Score: 74%
Simulated
Passage / Scenario
Client is a 26-year-old gravida 3 para 2 at 39 weeks gestation being induced for oligohydramnios. No significant social or medical history. Only complication is oligohydramnios. Previously delivered a 7-pound, 5-ounce infant vaginally without complications. Upon admission: 1 cm, 40% effaced, -2 station. No bloody show. Induced via Foley bulb induction. At 1200: 6 cm, 70% effaced, 0 station, membranes intact. Contractions every 2-3 min, strong. Fetal heart rate 140-145/min with average variability, drops to 100/min with contractions, lasts 20 sec, returns to baseline within 30 sec. Vital Signs at 1000: BP 122/74 mm Hg, HR 98/min, RR 20/min, Temp 36.7°C (98.1°F), O2 sat 99% on room air.The nurse is preparing to assist the nurse midwife with an amnioinfusion. The patient asks, 'Why do I need this?' The best response by the nurse is:
Correct answer
B
Rationale
Amnioinfusion adds sterile fluid to the uterus to relieve umbilical cord compression, common in oligohydramnios, which can cause fetal distress by allowing the baby to compress the cord.