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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Answer and explanation
Choice A rationale:
LOP (Left Occiput Posterior) would mean the baby’s occiput is towards the mother’s left and facing posteriorly, which is not the case here.
Choice B rationale:
ROA (Right Occiput Anterior) would mean the baby’s occiput is towards the mother’s right and facing anteriorly, which matches the description.
Choice C rationale:
LOA (Left Occiput Anterior) would mean the baby’s occiput is towards the mother’s left and facing anteriorly, which is not the case here.
Choice D rationale:
ROP (Right Occiput Posterior) would mean the baby’s occiput is towards the mother’s right and facing posteriorly, which is not the case here.
Correct Answer is A
Explanation
Choice A rationale:
Implementing measures for a vaginal birth is a reasonable intervention as the baby is in a favorable position for a normal delivery.
Choice B rationale:
Continuous internal fetal monitoring is not necessary unless there are complications or high-risk factors present.
Choice C rationale:
Artificial rupture of the membranes can be done to induce or augment labor, but it’s not necessary in this case.
Choice D rationale:
Preparing for a cesarean birth is not necessary as the baby is in a favorable position for a vaginal birth.
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