Author Question: Which maternal condition would be considered a contraindication for the application of internal ... (Read 66 times)

PhilipSeeMore · **on:** Jun 27, 2018

Which maternal condition would be 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

Four hours after the delivery of a healthy neonate of an insulin-dependent (type 1) di-abetic mother, the baby appears jittery, irritable, and has a high-pitched cry. Which nurs-ing action has top priority?

a. Start an intravenous line with D5W.
b. Notify the clinician stat.
c. Document the event in the nurses' notes.
d. Test for blood glucose level.

ju · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

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

Answer to Question 2

D
These symptoms are signs of hypoglycemia in the newborn. Permanent damage can occur if glucose is not constantly available to the brain, but it is not common practice to give intra-venous glucose to a newborn. Feeding the infant is preferable because the formula or breast milk will last longer.
It is not common practice to give intravenous glucose to a newborn. Feeding the infant is preferable because the formula or breast milk will last longer.
Test blood glucose level according to agency policy, treat symptoms with standing orders protocol, and notify the physician with the results.
Documentation can wait until the infant has been tested and treated if a problem is present.