FOCUSED EXAM: NON-REASSURING
FETAL STATUS QUESTIONS AND
CORRECT VERIFIED ANSWERS
NursingA2DiagnosisA2-A2Ans--AcuteA2pain
SignsA2&A2SymptomsA2-A2Ans---PainA2duringA2contractions
-FacialA2grimacing
Short-termA2GoalA2-A2Ans--
TheA2patientA2will,A2byA2startA2ofA2theA2activeA2laborA2stage,A2reportA2aA2reducedA2impactA2
ofA2contractionA2painA2andA2verbalizeA2understandingA2ofA2painA2managementA2technique
s.
InterventionsA2-A2Ans---InstructA2theA2patientA2inA2non-
pharmacologicalA2painA2managementA2likeA2breathingA2techniquesA2andA2massage.
-
AssessA2patient'sA2understandingA2ofA2theA2importanceA2ofA2changingA2positionA2frequent
lyA2andA2encourageA2ambulationA2withA2assistance
-EducateA2theA2patientA2onA2availableA2pharmacologicalA2optionsA2toA2assistA2withA2pain
-MaintainA2aA2quietA2andA2relaxingA2laborA2environment
InterventionsA2&A2EvaluationA2-A2Ans--Met
Rationale:A2TheA2patientA2wasA2providedA2verbalA2informationA2onA2optionsA2forA2painA2m
anagement.A2TheA2patientA2statesA2understandingA2ofA2herA2optionsA2andA2hasA2someA2re
liefA2fromA2changingA2position.A2TheA2patientA2agreesA2toA2repositionA2frequentlyA2andA2a
mbulateA2withA2assistance.
AskedA2aboutA2patient'sA2needsA2-A2Ans--DoA2youA2needA2anythingA2rightA2now?
AskedA2aboutA2socialA2historyA2-A2Ans--WhoA2livesA2withA2youA2atA2home?
HowA2manyA2childrenA2doA2youA2have?
DoA2youA2useA2anyA2substanceA2drugs,A2tobacco,A2alcohol?
AskedA2aboutA2pastA2medicalA2historyA2-A2Ans--
DoA2youA2haveA2anyA2medicalA2conditions?
DoA2youA2haveA2anyA2allergies?
HaveA2youA2hadA2previousA2hospitalizations?
FETAL STATUS QUESTIONS AND
CORRECT VERIFIED ANSWERS
NursingA2DiagnosisA2-A2Ans--AcuteA2pain
SignsA2&A2SymptomsA2-A2Ans---PainA2duringA2contractions
-FacialA2grimacing
Short-termA2GoalA2-A2Ans--
TheA2patientA2will,A2byA2startA2ofA2theA2activeA2laborA2stage,A2reportA2aA2reducedA2impactA2
ofA2contractionA2painA2andA2verbalizeA2understandingA2ofA2painA2managementA2technique
s.
InterventionsA2-A2Ans---InstructA2theA2patientA2inA2non-
pharmacologicalA2painA2managementA2likeA2breathingA2techniquesA2andA2massage.
-
AssessA2patient'sA2understandingA2ofA2theA2importanceA2ofA2changingA2positionA2frequent
lyA2andA2encourageA2ambulationA2withA2assistance
-EducateA2theA2patientA2onA2availableA2pharmacologicalA2optionsA2toA2assistA2withA2pain
-MaintainA2aA2quietA2andA2relaxingA2laborA2environment
InterventionsA2&A2EvaluationA2-A2Ans--Met
Rationale:A2TheA2patientA2wasA2providedA2verbalA2informationA2onA2optionsA2forA2painA2m
anagement.A2TheA2patientA2statesA2understandingA2ofA2herA2optionsA2andA2hasA2someA2re
liefA2fromA2changingA2position.A2TheA2patientA2agreesA2toA2repositionA2frequentlyA2andA2a
mbulateA2withA2assistance.
AskedA2aboutA2patient'sA2needsA2-A2Ans--DoA2youA2needA2anythingA2rightA2now?
AskedA2aboutA2socialA2historyA2-A2Ans--WhoA2livesA2withA2youA2atA2home?
HowA2manyA2childrenA2doA2youA2have?
DoA2youA2useA2anyA2substanceA2drugs,A2tobacco,A2alcohol?
AskedA2aboutA2pastA2medicalA2historyA2-A2Ans--
DoA2youA2haveA2anyA2medicalA2conditions?
DoA2youA2haveA2anyA2allergies?
HaveA2youA2hadA2previousA2hospitalizations?