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.”.

Answer and Explanation

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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Correct Answer is C

Explanation

Choice A rationale:

Station -2 means the presenting part is 2 cm above the ischial spines. Engagement usually occurs at 0 station.

Choice B rationale:

Station +1 means the presenting part is 1 cm below the ischial spines. This usually occurs during labor, not necessarily at engagement.

Choice C rationale:

Station 0 means the presenting part is at the level of the ischial spines. This is typically when engagement occurs.

Choice D rationale:

Station -1 means the presenting part is 1 cm above the ischial spines. Engagement usually occurs at 0 station.

A. Dysuria. B. Urinary frequency. C. Constipation. D. Dyspnea.

Correct Answer is B

Explanation

Choice A rationale:

Dysuria is not typically associated with lightening.

Choice B rationale:

Urinary frequency can increase when lightening occurs because the baby drops into the pelvis, putting more pressure on the bladder.

Choice C rationale:

Constipation is not typically associated with lightening.

Choice D rationale:

Dyspnea can actually improve when lightening occurs because there is less pressure on the diaphragm.

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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?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Assessment of a woman in labor reveals that the fetus is in a cephalic presentation and engagement has occurred. The nurse interprets this finding to indicate that the presenting part is at which station?.

Correct Answer is C

Explanation

The nurse teaches a primigravida client that lightening occurs about 2 weeks before the onset of labor. What will the mother likely experience at that time?.

Correct Answer is B

Explanation

When preparing a woman for an amniocentesis, the nurse would instruct her to perform which action?.

Assessment of a female client reveals a thick, white vaginal discharge. The client also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has:

Assessment of a female client reveals a thick, white vaginal discharge. The client also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has:.

A nurse is assessing a woman in labor. Which finding would the nurse identify as a cause for concern during a contraction?.

A young adult woman who is HIV-positive is receiving anti-retroviral therapy (ART) and is having difficulty with adherence. To promote adherence, which area would be most important for the nurse to assess?.

If a fetus were not receiving enough oxygen during labor because of uteroplacental insufficiency, which pattern would the nurse anticipate seeing on the monitor?.

A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. The nurse determines that the medication is at a therapeutic level based on which finding?.