Practice Question
A nurse is caring for a full term client in labor who is prescribed continuous fetal monitoring. On examination, the nurse determines the client's membranes are intact. Which of the following assessment methods should the nurse implement?
Answer Choices:
Correct Answer:
External ultrasound transducer monitor
Rationale:
💎When a client in labor has intact membranes, the safest and most appropriate method for continuous fetal monitoring is an external ultrasound transducer.
💎This device uses Doppler ultrasound to continuously detect and record the fetal heart rate through the maternal abdomen, without breaching the amniotic sac or posing infection risk.
💎Internal monitoring methods like a fetal scalp electrode require ruptured membranes and cervical dilation to allow placement directly on the fetal scalp.
💎The DeLee-Hillis fetoscope and transvaginal Doppler are generally used for intermittent auscultation, not continuous electronic monitoring in active labor.
💎External monitoring also allows for simultaneous tracking of uterine contractions via a tocodynamometer placed on the maternal abdomen.
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This question is from RN Maternal Newborn 2023 Exam which contains 69 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4