Author Question: What is an advantage of continuous electronic fetal monitoring (EFM) over intermittent auscultation ... (Read 29 times)

Redwolflake15 · **on:** Jun 28, 2018

What is an advantage of continuous electronic fetal monitoring (EFM) over intermittent auscultation during labor?

a. With EFM, the laboring woman can move about freely.
b. EFM allows the woman to see the fetal image during labor.
c. EFM relieves the nurse of responsibility for assessing the patient.
d. EFM monitors characteristics of uterine activity and fetal cardiac activity.

Question 2

Forty-five minutes after delivery, a woman tells the nurse that she thinks she is bleeding. The nurse observes a steady trickle of vaginal bleeding. The first nursing action should be to:

a. Reassure the woman that this is normal after delivery.
b. Check the blood pressure and pulse.
c. Immediately notify the physician.
d. Massage the uterus.

Heffejeff · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
EFM monitors both fetal cardiac and uterine activities. However, it is more restrictive. It provides tracings of electrical activity, not fetal images. The nurse remains responsible for assessing the patient's condition, including EFM tracings.

Answer to Question 2

ANS: D
Massage causes the uterine muscles to contract, which clamps down on the open blood vessels to prevent bleeding. The nurse would then obtain vital signs and notify the physician if needed.