A nurse might be called on to stimulate the fetal scalp a. As ...

[NguyenJ]

A nurse might be called on to stimulate the fetal scalp
 
  a. As part of fetal scalp blood sampling
  b. In response to tocolysis
  c. In preparation for fetal oxygen saturation monitoring
  d. To elicit an acceleration in the FHR

Question 2

A child has just returned from spinal fusion surgery. The nurse should check for signs of:
 
  1. Increased intracranial pressure.
  2. Seizure activity.
  3. Impaired pupillary response during neurological checks.
  4. Impaired color, sensitivity, and movement to lower extremities.

[dudman123]

Answer to Question 1

D
Feedback
A Fetal scalp blood sampling involves swabbing the scalp with disinfectant before
a sample is collected. The nurse would stimulate the fetal scalp to elicit an
acceleration of the FHR.
B Tocolysis is relaxation of the uterus. The nurse would stimulate the fetal scalp to
elicit an acceleration of the FHR.
C Fetal oxygen saturation monitoring involves the insertion of a sensor. The nurse
would stimulate the fetal scalp to elicit an acceleration of the FHR.
D The scalp can be stimulated using digital pressure during a vaginal examination.

Answer to Question 2

4
Rationale:
1. This is a sign of neurologic impairment, and is not high risk with spinal surgery.
2. This is a sign of neurologic impairment, and is not high risk with spinal surgery.
3. This is a sign of neurologic impairment, and is not high risk with spinal surgery.
4. When the spinal column is manipulated, there is a risk for impaired color, sensitivity, and movement to lower extremities.

[NguyenJ]

TYSM

[kthug]

Excellent