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 B

Explanation

Swallowing a preprocedure sedative is not typically required for an amniocentesis. Sedatives can affect the mother and the fetus, and are usually avoided unless absolutely necessary.

Choice B rationale:

Emptying the bladder is important before an amniocentesis. A full bladder can push against the uterus, increasing the risk of puncturing the bladder during the procedure.

Choice C rationale:

Showering with an antiseptic scrub is not typically required before an amniocentesis. The area of the abdomen where the needle will be inserted is usually cleaned with an antiseptic by the healthcare provider.

Choice D rationale:

Lying on the left side is not typically required for an amniocentesis. The procedure is usually performed with the woman lying on her back.

A. Offering fluids as indicated. B. Encouraging the woman to void. C. Assessing the uterine fundus. D. Assisting with perineal care. E. Assisting with perineal care.

Correct Answer is C

Explanation

Choice A rationale:

Offering fluids is important to prevent dehydration, but it’s not the priority during the fourth stage of labor.

Choice B rationale:

Encouraging the woman to void can help prevent urinary retention, but it’s not the priority.

Choice C rationale:

Assessing the uterine fundus is the priority during the fourth stage of labor. This is to ensure that the uterus is contracting and to prevent postpartum hemorrhage.

Choice D rationale:

Assisting with perineal care is important for comfort and hygiene, but it’s not the priority.

So, the correct answer is C, assessing the uterine fundus.

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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

When preparing a woman for an amniocentesis, the nurse would instruct her to perform which action?.

Correct Answer is B

Explanation

Which action is a priority when caring for a woman during the fourth stage of labor?.

Correct Answer is C

Explanation

A woman in labor received an opioid close to the time of birth. The nurse would assess the newborn for which effect?

A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. What would the nurse do next?

When teaching a group of postmenopausal women about hot flashes and night sweats, the nurse would address which primary cause?.

A woman's amniotic fluid is noted to be cloudy. The nurse interprets this finding as:.

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

A nurse is explaining the fetus's position to a female client whose baby is in the frank breech position. Which statement by the client would indicate that the teaching was understood?.

A woman in labor who received an opioid for pain relief develops respiratory depression. The nurse would expect which agent to be administered?.