Oligohydramnios

Question 1

What are the risk factors for developing oligohydramnios

Answer 1

Uteroplacental insufficiency,
Drugs
Fetal abnormalities
Ruptured membranes

Question 2

When does oligohydramnios usually present

Answer 2

2nd - 3rd trimester

Question 3

How does oligohydramnios present

Answer 3

Sense of decreased fetal movement from mother

Provider may notice that uterine size may be less than expected based on gestational age

Question 4

What are the various diagnostic criteria for oligohydramnios

Answer 4

By U/S
Amniotic fluid volume (AFV) of 200 or less - 500 ml
A deepest vertical pocket (DVP) of 2 cm or less
Amniotic fluid index (AFI) of 5cm or less

Question 5

What are the components of a management plan for clients with oligohydramnios

Answer 5

Screening
Detection
Collaborative management
Referral

Question 6

When and how does WHNP involve other members of the health care team for a client with oligohydramnios

Question 7

Normal amniotic fluid result

Answer 7

Single deepest pocket vertical depth of 2.1-8cm

Amniotic fluid index of 5-25 cm

Question 8

Fetal causes of Oligohydramnios

Answer 8

Renal agenesis
Urinary tract obstruction
Prelabor spontaneous rupture of membranes
Abnormal placentation
Elevated maternal serum alpha fetoprotein (AFP)
Post term pregnancy
Severe fetal growth restriction

Question 9

Maternal cause of oligohydramnios

Answer 9

idiopathic
dehydration
hypertensive disorders
Uteroplacental insufficiency
Antiphospholipid syndrome