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 A

Explanation

Choice A rationale:

Cervical dilation is the major change occurring during the first stage of labor. This stage begins with the onset of labor and ends when the cervix is fully dilated.

Choice B rationale:

Fetal movement through the birth canal primarily occurs during the second stage of labor, not the first.

Choice C rationale:

Placental separation occurs during the third stage of labor, after the baby is born.

Choice D rationale:

Regular contractions do occur during the first stage of labor, but they are not the major change. The major change is cervical dilation.

A. Olive green. B. Pink. C. Blue. D. Yellow.

Correct Answer is C

Explanation

Choice A rationale:

Olive green is not the color nitrazine paper turns when it comes into contact with amniotic fluid.

Choice B rationale:

Pink is not the color nitrazine paper turns when it comes into contact with amniotic fluid.

Choice C rationale:

Blue is the color nitrazine paper turns when it comes into contact with amniotic fluid, indicating likely membrane rupture.

Choice D rationale:

Yellow is not the color nitrazine paper turns when it comes into contact with amniotic fluid.

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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?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care to a pregnant woman in labor. The woman is in the first stage of labor. When describing this stage to the client, which event would the nurse identify as the major change occurring during this stage?

Correct Answer is A

Explanation

A client states "I think my water broke! I felt this gush of fluid between my legs.”. The nurse tests the fluid with nitrazine paper and confirms membrane rupture if the swab turns:.

Correct Answer is C

Explanation

A client has just given birth to a healthy baby boy, but the placenta has not yet delivered. What stage of labor does this scenario represent?.

When teaching a class of pregnant women about the effects of substance use during pregnancy, the nurse would include which effect?.

The pharmacy sends a bag of 150 mLs of D5W/0.456 normal saline with 25 units of Regular Insulin. The patient is ordered to receive an insulin drip at a rate of 9 units/hour. What rate will you set the IV pump to deliver? Numeric values only.

A nurse is assessing a woman in labor. Which finding would the nurse identify as a cause for concern during a contraction?.

A nurse is caring for several women in labor. The nurse determines that which woman is in the latent phase of labor?.

The nurse encourages a female client with human papillomavirus (HPV) to receive continued follow-up care because she is at risk for:.

A nurse is providing care to a woman in labor. The nurse determines that the client is in the active phase based on which assessment findings? Select all that apply.