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.”.

Answer and Explanation

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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Correct Answer is C

Explanation

Choice A rationale:

Station -2 means the presenting part is 2 cm above the ischial spines. Engagement usually occurs at 0 station.

Choice B rationale:

Station +1 means the presenting part is 1 cm below the ischial spines. This usually occurs during labor, not necessarily at engagement.

Choice C rationale:

Station 0 means the presenting part is at the level of the ischial spines. This is typically when engagement occurs.

Choice D rationale:

Station -1 means the presenting part is 1 cm above the ischial spines. Engagement usually occurs at 0 station.

A. Back of the hand. B. Finger tips. C. Palm of the hand. D. Finger pads. E. Finger pads.

Correct Answer is C

Explanation

Choice A rationale:

The back of the hand is sensitive to temperature, not pressure, making it less suitable for assessing contraction intensity.

Choice B rationale:

Finger tips are sensitive and can detect small changes, but they may not cover a large enough area to accurately assess contraction intensity.

Choice C rationale:

The palm of the hand covers a larger area and can better gauge the overall firmness of the uterus.

Choice D rationale:

Finger pads are sensitive to texture, not pressure, making them less suitable for this task.

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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?.

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Naxlex Comprehensive Predictor Exams

Assessment of a woman in labor reveals that the fetus is in a cephalic presentation and engagement has occurred. The nurse interprets this finding to indicate that the presenting part is at which station?.

Correct Answer is C

Explanation

A nurse palpates a woman's fundus to determine contraction intensity. What would be most appropriate for the nurse to use for palpation?.

Correct Answer is C

Explanation

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