Question

A nurse is caring for a client who is at 42 weeks of gestation and in active labor. The nurse should understand that the fetus is at risk for ________----

Answer 1

The fetus at 42 weeks of gestation and in active labor is at risk for meconium aspiration syndrome, umbilical cord complications, and placental insufficiency.

Step-by-step explanation:

Childbirth at full term and the Risk for Fetus

When a nurse is caring for a client who is at 42 weeks of gestation and in active labor, the fetus is at risk for several complications:

1. Meconium aspiration syndrome: This occurs when the fetus inhales meconium (the first stool) into its lungs during labor. It can cause respiratory distress and lead to pneumonia or other respiratory problems.
2. Umbilical cord complications: Prolonged labor can put pressure on the umbilical cord, leading to decreased oxygen and blood flow to the fetus. This can result in fetal distress and may necessitate an emergency birth.
3. Placental insufficiency: At 42 weeks, the placenta may not be functioning optimally, which can lead to inadequate oxygen and nutrient supply to the fetus, increasing the risk of stillbirth.

These are some of the potential risks for a fetus at 42 weeks of gestation and in active labor. It is essential for the nurse to closely monitor both the mother and the fetus to ensure their well-being during the childbirth process.