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 ["A","B","D","E"]
Explanation
A. Monitor FHR and contraction pattern – Correct; LPNs can monitor fetal heart rate (FHR) and contractions.
B. Monitor maternal vital signs – Correct; LPNs are responsible for monitoring the mother's BP, pulse, and other vitals.
C. Perform vaginal exams – Incorrect; LPNs do NOT perform cervical checks—this is the role of RNs or providers.
D. Provide maternal comfort measures – Correct; LPNs assist with positioning, massage, and breathing techniques for comfort.
E. Monitor maternal coping – Correct; LPNs can assess maternal coping mechanisms and provide support.
Correct Answer is B
Explanation
A. Maturation of germ cells in ovaries – Incorrect; this occurs later in fetal development and after birth.
B. Gender differentiation takes place – Correct; the embryonic stage (weeks 3-8) is when gender differentiation occurs at around week 7-8.
C. Implantation begins – Incorrect; implantation happens in the blastocyst stage (week 1-2), before the embryonic stage.
D. Differentiation begins – Incorrect; cell differentiation starts earlier, in the blastocyst stage, before full embryonic development.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.