The nurse is concerned that a client's uterine activity is too intense and that her obesity is preventing accurate assessment of the actual intrauterine pressure. Based on this information, which action should the nurse take?
a. Reposition the tocotransducer.
b. Reposition the Doppler transducer.
c. Obtain an order from the health care provider for a spiral electrode.
d. Obtain an order from the health care provider for an intrauterine pressure catheter.
ANS: D
An intrauterine pressure catheter can measure actual intrauterine pressure. The tocotransducer measures the uterine pressure externally; this would not be accurate with an obese client, even with repositioning. A Doppler auscultates the FHR. A scalp electrode (or spiral electrode) measures the fetal heart rate (FHR).
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