A nurse is preparing to monitor a patient who is to receive an ...

[cnetterville]

A nurse is preparing to monitor a patient who is to receive an amnioinfusion. Which of the following actions should the nurse make at this time?
 
  a. Attach the patient to an electronic blood pressure cuff.
  b. Assist in insertion of an internal uterine pressure catheter.
  c. Attach the patient to an oxygen saturation monitor.
  d. Perform an amniotic fluid Nitrazine test.

Question 2

As the nurse explains the purpose of the tocotransducer (Toco), which she places on the abdomen, she states that this monitoring device provides an accurate evaluation of which of the following?
 
  a. Uterine hypertonus
  b. Frequency of contractions
  c. Intensity of contractions
  d. Progress of labor

[smrerig]

Answer to Question 1

ANS: b
Feedback
a. The patient's blood pressure will need to be monitored, but a manual cuff is sufficient.
b. There is a possibility of uterine rupture during an amnioinfusion. An internal pressure transducer, therefore, must be inserted to monitor the patient's intrauterine pressures.
c. The woman's oxygen saturation levels need not be monitored during the amnioinfusion.
d. Because the woman's membranes are already ruptured, there is no need for a Nitrazine test to be performed.

Answer to Question 2

ANS: b
Feedback
a. Uterine tone is palpated or measured with an intrauterine pressure catheter (IUPC).
b. A tocotransducer measures frequency and duration of uterine contractions.
c. Contraction strength is palpated or measured with an intrauterine pressure catheter (IUPC).
d. Progress of labor is evaluated with a sterile vaginal examination (SVE).

[cnetterville]

Excellent

[shailee]

TYSM