QUESTION: "A 30-year-old multigravida pregnant with dizygotic twins at 37 weeks' gestation is being continuously monitored with electronic fetal monitoring. After giving instruction about the purpose of the electronic monitoring, the nurse determines that the client needs further instruction when she says that an electronic monitor does which of the following?"
CHOICES
( X ) a.) Allows fetal assessment after the administration of analgesia.
( O ) b.) Ensures a more comfortable atmosphere for the client and labor.
( X ) c.) Provides a continuous recording of fetal heart rate.
( X ) d.) Allows the nurse to provide care to a greater number of clients.
RATIONALE: Clients who have either external or internal fetal monitoring often experience greater discomfort because of the equipment. Plus, the client is less mobile with the monitoring belts in place. Continuous electronic fetal monitor allows for fetal heart rate assessment throughout the process of labor, not just after analgesia administration. A major advantage of monitoring fetal heart rate electronically is that it provides for a continuous recording of the heart rate during and between contractions allowing greater accuracy for determining variables in fetal heart rate. A continuous electronic fetal monitor allows for fetal heart rate assessment throughout the process of labor. It is not a device that allows the nurse to care for an increased number of clients. NURSING PROCESS STEP: Evaluation CLIENT NEEDS CATEGORY: Physiological integrity CLIENT NEEDS SUBCATEGORY: Reduction of risk potential
