The nurse is observing a student provide care to a client who is in early labor. Which student actions should be corrected?
1. Applying a fetal heart monitor followed by an explanation of the reason for its use
2. Upon entering the room, speaking with the client prior to looking at the fetal heart monitor
3. Using layman's terms to provide the client with an explanation of the reason for electronic fetal monitoring
4. Incorporating cues that arise from intuition or from observations of the client and family as opposed to focusing on the fetal heart monitor
1
Explanation:
1. Before using the electronic fetal monitor, the nurse needs to fully explain to the client the reason for its use and the information that it can provide.
2. The nurse can acknowledge the client's need to be the central focus by always speaking to and looking at the woman when entering the room, before looking at the monitor.
3. The technical language of electronic fetal monitoring and other procedures may act as a barrier, isolating the client and emphasizing her experience.
4. To prevent dehumanization of the nurse–client relationship, the nurse should incorporate cues that may arise from intuition or from observations of or interactions with the client and family, as opposed to focusing only upon objective monitor-based data.
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