After describing continuous electronic fetal monitoring to a laboring woman and her partner, which of the following would indicate the need for additional teaching?
A) "This type of monitoring is the most accurate method for our baby."
B) "Unfortunately, I'm going to have to stay quite still in bed while it is in place."
C) "This type of monitoring can only be used after my membranes rupture."
D) "You'll be inserting a special electrode into my baby's scalp."
B
Response:
With continuous internal electronic monitoring, maternal position changes and movement do not interfere with the quality of the tracing. Continuous internal monitoring is considered the most accurate method, but it can be used only if certain criteria are met, such as rupture of membranes. A spiral electrode is inserted into the fetal presenting part, usually the head.
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