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 C
Explanation
Choice A rationale:
Transient fetal hypoxia is not typically associated with cloudy amniotic fluid. It’s a condition where the fetus doesn’t get enough oxygen.
Choice B rationale:
Normal amniotic fluid is clear or light yellow. Cloudy amniotic fluid is not considered normal.
Choice C rationale:
Cloudy amniotic fluid could indicate a possible infection. The cloudiness can be due to the presence of bacteria and inflammatory cells.
Choice D rationale:
Meconium passage can cause the amniotic fluid to become green or brown, not typically cloudy. So, the correct answer for both questions 26 and 27 is C.
Correct Answer is D
Explanation
Choice A rationale:
A cephalhematoma is a collection of blood that can occur under the scalp of a newborn. It does not aid in the passage of the fetal skull through the birth canal.
Choice B rationale:
Vertex presentation refers to the position of the fetus in the womb, not a feature of the skull that aids in birth.
Choice C rationale:
Caput succedaneum is a swelling of the scalp in a newborn. It is caused by pressure from the uterus or vaginal wall during a head-first (vertex) delivery, not a feature that aids in birth.
Choice D rationale:
Molding refers to the shaping of the fetal skull to fit through the birth canal. This is possible due to the presence of sutures and fontanelles in the skull, which allow the bony plates of the skull to move and overlap.
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