18. A client, who is gravida 4, para 1, is admitted for preterm labor at 32 weeks' gestation. She is 1 cm dilated, 90% effaced, and a +1 station. A nurse is monitoring her preterm labor using an external fetal monitor. Which statement, if made by the client, should indicate to the nurse that further teaching is needed?
. "I'll need to lie flat on my back to monitor the contractions."
. "I can expect to be checked frequently while I am wearing the monitor."
. "I can lie in a comfortable position, but I should avoid lying on my back."
. "I know that the external monitor will show how my baby is responding to the contractions."
Test-Taking Tip
Read the question carefully; it is asking which statement is incorrect, meaning that the nurse would need to do further teaching.
Content Area: Maternity, Intrapartum; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Complications from Surgical Procedures and Health Alterations
.
Answer 1 is correct because women who are pregnant should avoid lying directly on their backs. A right or left tilt is the correct position during pregnancy, to avoid vena cava compression. Answer 2 is incorrect because the nurse will check on the client frequently while she is wearing the monitor to ensure fetal well-being, as well as to determine the frequency and duration of any contractions. Answer 3 is incorrect because women who are pregnant should avoid lying directly on the back. A right or left tilt is the correct position during pregnancy, to avoid vena cava compression. The client should lie in whatever position is comfortable, except on the back. Answer 4 is incorrect because the monitor is used to ensure the fetal well-being, as well as to determine the frequency and duration of any contractions.