Inpatient Obstetric Nurse (NCC) Practice Exam

What is the ACOG standard for fetal monitoring in the case of maternal abdominal trauma?

1. 1-2 hours

2. 2-6 hours

3. 6-12 hours

4. 12-24 hours

The correct answer is: 2-6 hours

The ACOG (American College of Obstetricians and Gynecologists) standard for fetal monitoring after maternal abdominal trauma is to conduct continuous fetal monitoring for a period of 2 to 6 hours. This recommendation is rooted in the need to ensure fetal well-being following an event that could potentially compromise the pregnancy due to risks such as placental abruption, uterine rupture, or fetal distress. During this critical period, healthcare professionals are able to closely observe fetal heart rate patterns and establish if any abnormal findings arise, which can indicate distress or complications that may require intervention. Continuous monitoring within this timeframe allows for timely detection of any changes that might necessitate further obstetric evaluation or intervention, enhancing management and outcomes for both the mother and fetus. The other options imply longer monitoring periods, which are not supported by current standards for initial management after abdominal trauma.