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Author Question: A woman with a history of two stillbirths is in the active phase of the first stage of labor in the ... (Read 66 times)

altibaby

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on: Jun 28, 2018
A woman with a history of two stillbirths is in the active phase of the first stage of labor in the high-risk OB unit. How often should the nurse anticipate monitoring fetal heart tones (FHTs)?
 
  A.
  Continuously
  B.
  Every 5 minutes
  C.
  Every 15 minutes
  D.
  Every 30 minutes

Question 2

A nurse is assessing a woman in labor. In order to assess the fetal position most accurately, which of the following methods should be used?
 
  A.
  Auscultation of fetal heart tones
  B.
  Leopold maneuvers
  C.
  Ultrasound examination
  D.
  Vaginal examination


macagnavarro

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Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: A
Women with certain complications, including a history of stillbirth, a high-risk pregnancy (preeclampsia-eclampsia, placenta previa, abruptio placentae, multiple gestations, prolonged or premature rupture of the membranes), induction with oxytocin, or a problem with FHT, should have FHT monitored continuously.

Answer to Question 2

ANS: C
Ultrasound is the most accurate way to assess the fetal position. Leopold maneuvers are not always accurate and may be clinically difficult, which also makes assessing fetal heart tones more difficult. A vaginal examination can be used, but if the membranes are still intact or if the cervix is only minimally dilated, the examiner may not be able to determine the fetus's position.


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altibaby

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Reply #2 on: Jun 28, 2018
Correct answers!


macagnavarro

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Reply #3 on: Jun 28, 2018
Great! Please up vote :D


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