Evolve Fetal Heart Rate- Assessment via Intermittent Auscultation and Electronic Monitor (Maternal-Newborn) 2023 A+

1. A patient in early labor is being admitted to the antepartum unit. She asks the nurse if she has to be on the electronic fetal monitor throughout her labor. What should the nurse consider before answering the patient? A. Practitioner's orders, staff preferences, and patient preferences B. Practitioner's orders, organization's practice, staff availability, and patient preferences C. Cost of monitoring the patient, practitioner's orders, and staff availability D. Cost of equipment, cost of staff, and organization's practice - ANS-B. Practitioner's orders, organization's practice, staff availability, and patient preferences 2. The practitioner orders IA of the FHR once an hour for a patient admitted in latent labor. Based on this information, what should the nurse do? A. Apply the electronic fetal monitor ultrasound transducer for only 30 minutes to determine the baseline FHR. B. Apply the electronic fetal monitor for 60 seconds with the recorder in the "On" position. C. Auscultate the FHR for 15 seconds and multiply by four to determine the rate in beats per minute. D. Auscultate the FHR between uterine contractions when the fetus is not actively moving for 30 to 60 seconds. - ANS-D. Auscultate the FHR between uterine contractions when the fetus is not actively moving for 30 to 60 seconds. 3. A laboring patient with twin gestations is admitted. The nurse knows that continuous electronic fetal monitoring is more advantageous than IA in this situation. What is the rationale for using continuous electronic fetal monitoring? A. The nurse will have more time to prepare for the birth. B. The FHR of each fetus can be monitored simultaneously. C. Any arrhythmias can be identified before birth. D. Electronic fetal monitoring allows the patient to remain in her most comfortable position. - ANS-B. The FHR of each fetus can be monitored simultaneously 4. A primigravida with diabetes presents with spontaneous ruptured membranes and moderate contractions occurring every 3 minutes. The patient does not have a history of infections, and her cervix is 4 cm dilated. After obtaining the maternal history and reviewing the prenatal record, the nurse applies the external electronic fetal monitor as ordered and notes that the FHR is not recording during contractions. The tracing does not improve after the nurse repositions the patient and moves the transducer. What should the nurse do? CONTINUES...