Practice Quiz

CNM Certified Nurse Midwife

Category - Intrapartum

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A nurse midwife is caring for a client who is scheduled for a cesarean section. The multiparous client is pregnant with twins. The nurse midwife assesses the fetal heart tones through an external fetal monitor. Which of the following actions of the nurse is the most appropriate when assessing the client?
  1. Place the monitor over the fetus that is more anterior to the client’s abdomen.
  2. Monitor each fetal heart rate with a separate fetal monitor.
  3. Monitor the twin that is more anterior to the client’s abdomen for 15 minutes and then monitor the other in the next 15 minutes.
  4. Place the monitor over the umbilical level.
Explanation
Answer: B - The nurse midwife monitors each fetal heart rate with a separate monitor. Many risks are involved with multiple gestations, such as cord prolapse, uterine dysfunction and premature separation of the placenta. For this reason, each fetus must be closely monitored.
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