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 B
Explanation
hoice A rationale:
This is incorrect. A shallow deceleration at the beginning of contractions is not indicative of uteroplacental insufficiency.
Choice B rationale:
This is correct. Late decelerations of the fetal heart rate during contractions can indicate uteroplacental insufficiency.
Choice C rationale:
This is incorrect. An increase in baseline heart rate with contractions is not a typical sign of uteroplacental insufficiency.
Choice D rationale:
This is incorrect. Variable decelerations are typically associated with cord compression, not uteroplacental insufficiency.
Correct Answer is B
Explanation
Choice A rationale:
Bradypnea and hypertension are not typically signs of impending shock.
Choice B rationale:
Tachycardia and a falling blood pressure are classic signs of shock as the body tries to compensate for the decreased blood flow.
Choice C rationale:
Tachypnea and a widening pulse pressure can be signs of shock, but they are not as indicative as tachycardia and a falling blood pressure.
Choice D rationale:
Bradycardia and auscultation of fluid in the base of the lungs are not typically signs of impending shock.
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