Author Question: Which maternal condition is considered a contraindication for the application of internal monitoring ... (Read 35 times)

Medesa · **on:** Jun 27, 2018

Which maternal condition is considered a contraindication for the application of internal monitoring devices?

a. Unruptured membranes
b. Cervix is dilated to 4 cm
c. External monitors are currently being used
d. Fetus has a known heart defect

Question 2

Nurses should be aware that accelerations in the fetal heart rate:

a. Are indications of fetal well-being when they are periodic.
b. Are greater and longer in preterm gestations.
c. Are usually seen with breech presentations when they are episodic.
d. May visibly resemble the shape of the uterine contraction.

sultana.d · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Feedback
A To apply internal monitoring devices, the membranes must be ruptured.
B Cervical dilation of 4 cm permits the insertion of fetal scalp electrodes and
intrauterine catheter.
C The external monitor can be discontinued after the internal ones are applied.
D A compromised fetus should be monitored with the most accurate monitoring
devices.

Answer to Question 2

D

Feedback
A Periodic accelerations occur with uterine contractions (UCs) and usually are seen with breech presentations. Episodic accelerations occur during fetal movement and are indications of fetal well-being.
B Preterm accelerations peak at 10 beats/min above the baseline and last for at least 10 seconds, not 15 seconds.
C Periodic accelerations occur with UCs and usually are seen with breech presen-tations. Episodic accelerations occur during fetal movement and are indications of fetal well-being.
D They may resemble the shape of the uterine contraction or may be spikelike.