Author Question: A perinatal nurse has developed a birth plan with a woman who is in her third trimester and has a ... (Read 43 times)

Jkov05 · **on:** Jun 28, 2018

A perinatal nurse has developed a birth plan with a woman who is in her third trimester and has a physical disability. Which action by the nurse would be best for this patient?

A.
Arrange for a social work home visit after the woman gives birth and goes home.
B.
Consult with the OB clinical nurse specialist to plan for the woman's birth.
C.
Notify the unit manager about the upcoming delivery of a woman with a disability.
D.
Prepare a written birth plan document and ensure the woman has a copy to take with her.

Question 2

A nurse is caring for a woman receiving continuous electronic fetal monitoring. Which action by the nurse is most important?

A.
Educate the woman and her partner about the importance of electronic fetal monitoring.
B.
Ensure clearly readable monitoring strips are placed in the patient's chart per protocol.
C.
Offer diversionary activities for the woman and partner while they are in the hospital.
D.
Restrict visitors in order to decrease the chance of being exposed to infectious illness.

stanleka1 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
Consulting with the clinical nurse specialist (or the unit manager) allows for special needs to be documented and prepared for. There is no indication that the woman needs a social worker to visit her at home after the birth, but home health-care options should be investigated and planned ahead of time, if needed or desired. Simply telling the unit manager about this woman's upcoming birth will not allow for her needs to be anticipated and planned for. Although a written copy of a birth plan is good to facilitate communication, this alone will not allow for pre-planning for any special needs.

Answer to Question 2

ANS: B
Fetal monitoring strips (along with other documentation) can show that the standard of care was met if questions arise. An important nursing responsibility in caring for women with electronic fetal monitoring is to ensure strips are clear enough to be interpreted and strips are placed in the patient's chart according to facility policy. Education and diversionary activities are important actions, but do not take priority over this legal responsibility. Restricting visitors may or may not be appropriate.