Author Question: The laboring client with meconium-stained amniotic fluid asks the nurse why the fetal monitor is ... (Read 112 times)

Awilson837 · **on:** Jun 27, 2018

The laboring client with meconium-stained amniotic fluid asks the nurse why the fetal monitor is necessary, as she finds the belt uncomfortable. Which response by the nurse is most important?

1. The monitor is necessary so we can see how your labor is progressing.
2. The monitor will prevent complications from the meconium in your fluid.
3. The monitor helps us to see how the baby is tolerating labor.
4. The monitor can be removed, and oxygen given instead.

Question 2

When assessing a full-term newborn, the nurse notes tremor-like movements. The nurse is aware that further evaluation is indicated to rule out: Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply. 1. Low spinal cord defects.
2. Hypoglycemia.
3. Hypocalcemia.
4. Substance withdrawal.
5. Neurologic damage.

emily12345 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
Explanation: 3. Electronic fetal monitoring (EFM) provides a continuous tracing of the fetal heart rate (FHR), allowing characteristics of the FHR to be observed and evaluated.

Answer to Question 2

2,3,4,5
Rationale 1: Low spinal cord defects are associated with absence of Babinski's response, not tremors.
Rationale 2: Tremors or jerky twitching can be an indication of hypoglycemia, and should be evaluated.
Rationale 3: Electrolyte imbalances such as hypocalcemia can cause tremors.
Rationale 4: Restlessness and tremors are evident in the hewborn experiencing substance withdrawal.
Rationale 5: Neurologic damage should be considered if the newborn is experiencing tremors.