A pregnant woman diagnosed with hydramnios presents with sudden severe abdominal pain and difficulty breathing. What is the most appropriate immediate nursing action?
Provide rest position to left side and provide oxygen
Hydramnios overdistends the uterus; if the woman suddenly has severe abdominal pain and breathlessness, acute hydramnios or pressure on the diaphragm is likely.
Immediate action is to put the woman in left lateral position — this relieves pressure on the vena cava and the diaphragm — and give oxygen to correct hypoxia.
Oral fluids are not an immediate step, an abdominal binder worsens the compression, and ambulation strains an overdistended uterus and is unsafe at this moment.
Hence, Provide rest position to left side and provide oxygen.
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Important Questions from Midwifery and Obstetrical Nursing
A 29-year-old woman presents with primary infertility and regular cycles. Her hysterosalpingography reveals bilateral tubal blockage. Which investigation should be prioritized next for management?
During infertility assessment, a female is diagnosed with Asherman's syndrome. What is the primary mechanism by which this condition causes infertility?
Which hormone fluctuation is primarily linked to premenstrual syndrome symptoms?
A 30-year-old pregnant woman with hyperemesis gravidarum is at risk for Wernicke's encephalopathy. Which vitamin supplement is essential in her treatment plan?
During assessment, a midwife observes a blood-tinged mucus discharge, known as the 'show,' in a pregnant woman. What is the significance of this finding?
