A nurse assisting in the care of a client, places the tocodynamometer (TOCO) transducer on a client's fundus and secures it in place. The client asks the nurse to explain the purpose of the monitoring device. Which of the following responses should the nurse make?
"This monitor gives me information related to fetal heart rate fluctuations during your labor."
"This monitor measures the intensity and frequency of your contractions so I can observe labor progress."
"This monitor allows me to observe your labor progress. By observing the pattern, I can tell how strong your contractions are."
"This monitor provides me with information related to the duration and frequency of your contractions."
The Correct Answer is D
A. "This monitor gives me information related to fetal heart rate fluctuations during your labor." – Incorrect; the TOCO does not monitor fetal heart rate; the fetal heart rate is detected using a Doppler or fetal scalp electrode.
B. "This monitor measures the intensity and frequency of your contractions so I can observe labor progress." – Incorrect; the TOCO can measure frequency and duration, but not intensity (which requires an intrauterine pressure catheter).
C. "This monitor allows me to observe your labor progress. By observing the pattern, I can tell how strong your contractions are." – Incorrect; TOCO does not measure contraction strength, only duration and frequency.
D. "This monitor provides me with information related to the duration and frequency of your contractions." – Correct; a TOCO detects and records contraction frequency and duration, but not intensity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Share piercing needles only with close friends you trust." – Incorrect; sharing needles increases the risk of HIV, hepatitis B, and hepatitis C.
B. "Limit your caloric intake to avoid becoming overweight." – Incorrect; adolescents need adequate nutrition for growth, and extreme caloric restriction can be harmful.
C. "Tanning beds are much safer than lying in the sun." – Incorrect; tanning beds expose users to harmful UV radiation, increasing the risk of skin cancer.
D. "Your need for sleep will increase during periods of growth." – Correct; adolescents require 8-10 hours of sleep to support rapid growth and development.
Correct Answer is ["A","B","C"]
Explanation
A. Endoderm – Correct; this layer develops into the gastrointestinal tract, liver, pancreas, and lungs.
B. Mesoderm – Correct; this layer forms the muscles, bones, heart, and blood vessels.
C. Ectoderm – Correct; this layer develops into the skin, nervous system, and sensory organs.
D. Epidermis – Incorrect; the epidermis is derived from the ectoderm, but it is not a germ layer itself.
E. Hypodermis – Incorrect; the hypodermis (subcutaneous tissue) is also not a germ layer.
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