Author Question: Which is the most appropriate method of intrapartum fetal monitoring when a woman has a history of ... (Read 74 times)

crazycityslicker · **on:** Jun 27, 2018

Which is the most appropriate method of intrapartum fetal monitoring when a woman has a history of hypertension during pregnancy?

a. Continuous auscultation with a fetoscope
b. Continuous electronic fetal monitoring
c. Intermittent assessment with a Doppler transducer
d. Intermittent electronic fetal monitoring for 15 minutes each hour

Question 2

A child with hemophilia plans on participating in a bicycling club. The nurse should recommend that the child:

1. Consider a swim club instead of the bicycling club.
2. Wear kneepads, elbow pads, and a helmet while bicycling.
3. Participate only in the social activities of the club.
4. Not join the club.

cam1229 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Feedback
A It is not practical to provide continuous auscultation with a fetoscope.
B Maternal hypertension may reduce placental blood flow through vasospasm of
the spiral arteries. Reduced placental perfusion is best assessed with continuous
electronic fetal monitoring to identify patterns associated with this condition.
C This fetus needs continuous monitoring because it is at high risk for
complications.
D This fetus needs continuous monitoring because it is at high risk for
complications.

Answer to Question 2

2
Rationale:
1. Children with hemophilia should be encouraged to participate in non-contact sports activities. Bicycling is an excellent option, and is recommended, along with swimming. The child should always use kneepads, elbow pads, and a helmet when participating in a physical sport.
2. Children with hemophilia should be encouraged to participate in non-contact sports activities. Bicycling is an excellent option, and is recommended, along with swimming. The child should always use kneepads, elbow pads, and a helmet when participating in a physical sport.
3. Participating only in the social aspects of the club would not encourage physical activity.
4. Discouraging a child from joining a club would not foster growth and development.