A nurse is caring for a client following an amniocentesis.The nurse should observe the client for which of the following complications?
Explanation & Rationale
Choice A rationaleHyperemesis gravidarum is severe nausea and vomiting during pregnancy, typically occurring in the first trimester. While amniocentesis can cause some discomfort, it is not a known risk factor for hyperemesis.Choice B rationaleProteinuria is the presence of protein in the urine, which can be a sign of preeclampsia, a condition that can occur later in pregnancy. Amniocentesis, usually performed in the second trimester, is not directly linked to causing proteinuria.Choice C rationaleAmniocentesis is an invasive procedure that involves inserting a needle through the abdominal wall and uterus to withdraw amniotic fluid. This procedure carries a risk of bleeding or hemorrhage from the insertion site or within the uterus. Therefore, observing for signs of hemorrhage is a crucial nursing intervention post-amniocentesis.Choice D rationaleHypoxia is a condition of insufficient oxygen supply to the tissues. While complications of amniocentesis could indirectly lead to fetal hypoxia in rare cases (e.g., placental abruption), it is not a direct and common complication to observe for in the mother. Hemorrhage is a more immediate and direct risk for the mother. .