A woman pregnant with triplets is a patient in the high-risk OB unit. Which action by the nurse is most appropriate?
A.
Document serial, individual fetal monitor strips.
B.
Label the monitor lines in descending fetal order.
C.
Monitor the fetuses simultaneously with a triplet monitor.
D.
Obtain fetal monitor strips in presenting order.
ANS: C
Fetal monitoring of multiples may be difficult, but triplet monitors are available and should be used, if possible, for triplets. This is preferable to obtaining serial, individual tracings. The fetuses are labeled in ascending order, with the presenting fetus labeled "A." It is not necessary to monitor the fetuses in presenting order so long as they are clearly labeled.
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