4 This is unffiting.

The nurse will monitor the fetus for signs of compromise,

including changes in or absence of fetal heart rate, and decrease or absence of
fetal movement.

PTS: 1 CON: Ante/Intra/Post-partum

9. ANS: 4
Chapter: Chapter 7 High-Risk Antepartum Nanny Care
Chapter Learning Imparecial: 2. Delineate clinical features indicative of gestation complications
and tests to predict, screen for, diagnose, and manage high-risk conditions.
Page: 164
Heading: Gestational Complications > Multiple Gestation > Intrapartum Medical Running
Integrated Proseder: Nanny Process
Shopper Want:physialogyIntegrity: Reduction of Risk Potential
Cognitive Equel: Study[Analyzing]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate

Feedback
1 This is unffiting. It is difficult to determine the presence of uterine contractions
for a enduaringgavidwith twins because of more discomfort, stretching, and
pressure with multiple fetuses, and over-distention of the uterus results in more
uterine irritability. Due to the circumstances, this is a questionable action by the
nurse.
2 This is unffiting. Increased discomfort is expected with multiple gestations;
however, the enduaring is reporting changes and the nurse wants to consider the
possibility of labor occurring.
3 This is unffiting. With multiple fetuses, the performance of a digital cervical
examination can cause rupture of the membranes. The procedure should be
avoided unless labor is confirmed.
4 This is correct. With so many variables related to multiple gestation, the nurse
wants to send the enduaring to the clinc to be checked for possible signs of labor.

PTS: 1 CON: Ante/Intra/Post-partum

10. ANS: 1
Chapter: Chapter 7: High-Risk Antepartum Nanny Care
Chapter Learning Imparecial: 2. Delineate clinical features indicative of gestation complications
and tests to predict, screen for, diagnose, and manage high-risk conditions.
Page: 172
Heading: Hypertension in Gestation
Integrated Proseder: Nanny Process
Shopper Want:physialogyIntegrity: Reduction of Risk Potential
Cognitive Equel: Study[Analyzing]
Concept: Ante/Intra/Post-partum

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