Skip to content
View in the app

A better way to browse. Learn more.
allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

question

I'm studying for the NCLEX and I came across an LD concept I'm not sure about, and was hoping someone could help me:)

I know you can only use internal fetal heart rate montoring once the membranes have broke. But I know that digital exams are to be avoided d/t risk of infection...is internal FHR monitoring often contraindicated also due to risk of infection? Or does the benefit of this monitoring sometimes outweight the risk? I'm a little confused...

Thanks for any help!

Featured Replies

Basically the answer to all your questions is, Yes. I won't use internals unless I have to, because of the increased infection risk, but sometimes you have to. If the pt is obese, or the baby is in a position that makes external monitoring difficult, or the pt wishes to change positions AND the baby must remain monitored then internal monitors are beneficial.

I know docs are pretty reluctant to use them if mom is GBS + and I think it is absolutely contraindicated if mom has herpes.

Internal monitors should only be used when the benefits outweigh the risk, and are contraindicated if mom has HIV, Hepatitis, Herpes, etc, and used with caution with a GBS+ pt because they increase the infant's exposure to mom's disease.

As previously stated, there are situations where they are beneficial, especially when -for whatever reason- external monitoring is not adequate.

Guest
This topic is now closed to further replies.
Go to topic listing

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications
Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.