Which client is a candidate for internal monitoring with an intrauterine pressure catheter?
a. Obese client whose contractions are 3 to 6 minutes apart, lasting 20 to 50 seconds
b. Gravida 1, para 0, whose contractions are 2 to 3 minutes apart, lasting 60 seconds
c. Multigravida whose contractions are 2 minutes apart, lasting 60 to 70 seconds
d. Gravida 2, para 1, in latent phase whose contractions are irregular and mild
ANS: A
A thick layer of abdominal fat absorbs energy from uterine contractions, reducing their apparent intensity on the monitor strip. Contraction patterns of 2 to 3 minutes lasting 60 seconds and every 2 minutes lasting 60 to 70 seconds indicate accurate measurement of uterine activity. Irregular and mild contractions are common in the latent phase.
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