The nurse is concerned that a client's uterine activity is too ...

[jasdeep_brar]

The nurse is concerned that a client's uterine activity is too intense and that her obesity is preventing accurate assessment of the actual intrauterine pressure. Based on this information, which action should the nurse take?
 
  a. Reposition the tocotransducer.
  b. Reposition the Doppler transducer.
  c. Obtain an order from the health care provider for a spiral electrode.
  d. Obtain an order from the health care provider for an intrauterine pressure catheter.

Question 2

The nurse is taking a sexual history on an adolescent girl. Which is the best way to determine whether she is sexually active?
 
  a. Ask her, Are you sexually active?
  b. Ask her, Are you having sex with anyone?
  c. Ask her, Are you having sex with a boyfriend?
  d. Ask both the girl and her parent if she is sexually active.

[covalentbond]

Answer to Question 1

ANS: D
An intrauterine pressure catheter can measure actual intrauterine pressure. The tocotransducer measures the uterine pressure externally; this would not be accurate with an obese client, even with repositioning. A Doppler auscultates the FHR. A scalp electrode (or spiral electrode) measures the fetal heart rate (FHR).

Answer to Question 2

ANS: B
Asking the adolescent girl if she is having sex with anyone is a direct question that is well understood. The phrase sexually active is broadly defined and may not provide specific information for the nurse to provide necessary care. The word anyone is preferred to using gender-specific terms such as boyfriend or girlfriend. Using gender-neutral terms is inclusive and conveys acceptance to the adolescent. Questioning about sexual activity should occur when the adolescent is alone.