A nurse is caring for a woman receiving continuous electronic fetal monitoring. Which action by the nurse is most important?
A.
Educate the woman and her partner about the importance of electronic fetal monitoring.
B.
Ensure clearly readable monitoring strips are placed in the patient's chart per protocol.
C.
Offer diversionary activities for the woman and partner while they are in the hospital.
D.
Restrict visitors in order to decrease the chance of being exposed to infectious illness.
ANS: B
Fetal monitoring strips (along with other documentation) can show that the standard of care was met if questions arise. An important nursing responsibility in caring for women with electronic fetal monitoring is to ensure strips are clear enough to be interpreted and strips are placed in the patient's chart according to facility policy. Education and diversionary activities are important actions, but do not take priority over this legal responsibility. Restricting visitors may or may not be appropriate.
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