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 A
Explanation
Choice A rationale:
Physiologic anemia due to hemoglobin decrease does not cause dizziness when lying flat.
Choice B rationale:
A 50% increase in blood volume does not directly cause dizziness when lying flat.
Choice C rationale:
The gravid uterus can compress the vena cava when the woman lies flat, reducing blood flow to the heart and causing dizziness.
Choice D rationale:
Pressure of the presenting fetal part on the diaphragm can cause shortness of breath, but not dizziness.
Correct Answer is C
Explanation
Choice A rationale:
A slight increase in blood pressure during contractions is normal.
Choice B rationale:
A white blood cell count of 12,000 cells/mm is within the normal range.
Choice C rationale:
A respiratory rate of 10 breaths/minute is low and could indicate respiratory depression.
Choice D rationale:
A heart rate increase from 76 bpm to 90 bpm is within the normal range.
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