After describing continuous internal electronic fetal monitoring to a laboring woman and her partner, which statement by the woman would indicate the need for additional teaching?.
"Unfortunately, I'm going to have to stay quite still in bed while it is in place.”.
"You'll be inserting a special electrode into my baby's scalp.”.
"This type of monitoring is the most accurate method for our baby.”.
"This type of monitoring can only be used after my membranes rupture.”.
The Correct Answer is A
Choice A rationale:
This statement is incorrect. While continuous internal electronic fetal monitoring does limit mobility, it doesn’t require the woman to stay completely still.
Choice B rationale:
This is correct. An electrode may be inserted into the baby’s scalp to monitor heart rate.
Choice C rationale:
This is also correct. Internal monitoring provides the most accurate and continuous data about the baby’s heart rate.
Choice D rationale:
This is correct. The membranes must rupture before the electrode can be inserted.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
The face as the presenting part is not indicated by LSA. LSA stands for Left Sacrum Anterior, which indicates the baby’s position in the womb.
Choice B rationale:
The shoulder as the presenting part is not indicated by LSA. LSA refers to the baby’s position, not the presenting part.
Choice C rationale:
The occiput as the presenting part is not indicated by LSA. LSA refers to the baby’s position, not the presenting part.
Choice D rationale:
The buttocks as the presenting part is indicated by LSA. LSA (Left Sacrum Anterior) means the baby’s sacrum (buttocks) is presenting, and it is oriented to the mother’s left side and is facing forward (anterior).
Correct Answer is D
Explanation
Choice A rationale:
Asking “Why are you crying?” may seem insensitive as it’s clear the client is upset due to the loss.
Choice B rationale:
Saying “A baby still wasn’t formed in your uterus.”. might be factually correct, but it can be hurtful as it dismisses the emotional attachment the client may have had.
Choice C rationale:
Offering a pill for pain might be practical, but it doesn’t address the emotional pain the client is likely experiencing.
Choice D rationale:
Saying “I’m sorry you lost your baby.”. acknowledges the client’s loss and offers sympathy, showing empathy and understanding.
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