The nurse is instructing a pregnant adolescent client on how the baby's condition is evaluated during labor. The nurse knows the client education was successful when the client states, "During labor, the nurse will:
1. "Check my cervix by doing a pelvic exam every two hours.".
2. "Assess the baby's heart rate with an electronic fetal monitor.".
3. "Look at the color and amount of bloody show that I have.".
4. "Verify that my contractions are strong but not too close together.".
2. "Assess the baby's heart rate with an electronic fetal monitor.".
Rationale:
During labor, the nurse will assess the baby's heart rate with an electronic fetal monitor. This is the statement the client should make to prove that education was successful. Although cervical exams are performed on a regular basis, the pelvic exam does not assess fetal status. The client has asked specifically about assessing fetal status in labor.
Although bloody show is monitored, doing so does not assess fetal status. Although contraction strength is palpated abdominally, the client has asked about assessing fetal status in labor.
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