In Susie Smith's Scenario Action #1, which action is listed third?

In Susie Smith's Scenario Action #1, which action is listed third?

• A. Reassess placement of the tocodynamometer and transducer
• B. Educate the client about the oxytocin contraction stress test
• C. Position the client in a reclining chair with slight lateral tilt
• D. Assist the client to empty her bladder

Answer: (C)

The key idea here is how to sequence actions for safe and effective fetal monitoring during a contraction stress test. First, you want to prepare the client and establish clear monitoring. That often includes practical steps like ensuring the bladder is empty to avoid discomfort or interference with monitoring, and verifying that the monitoring devices (tocodynamometer and fetal transducer) are correctly placed so you can read contractions and fetal heart rate accurately. After those preparatory steps, positioning the client becomes the next important move. Placing the client in a reclining chair with a slight leftward tilt supports uteroplacental perfusion by reducing the effects of a heavy uterus on venous return, while still allowing easy access for monitoring and exam. This combination of comfort, safety, and optimal monitoring explains why this action is typically third in the sequence.

The key idea here is how to sequence actions for safe and effective fetal monitoring during a contraction stress test. First, you want to prepare the client and establish clear monitoring. That often includes practical steps like ensuring the bladder is empty to avoid discomfort or interference with monitoring, and verifying that the monitoring devices (tocodynamometer and fetal transducer) are correctly placed so you can read contractions and fetal heart rate accurately. After those preparatory steps, positioning the client becomes the next important move. Placing the client in a reclining chair with a slight leftward tilt supports uteroplacental perfusion by reducing the effects of a heavy uterus on venous return, while still allowing easy access for monitoring and exam. This combination of comfort, safety, and optimal monitoring explains why this action is typically third in the sequence.