The nurse is caring for a client who is a gravida 2 para 1 and had a previous cesarean section. the client has had no complications with the pregnancy and prefers to have this delivery vaginally. which monitoring system best assesses for the ability to delivery vaginally?

-continuous internal monitoring of uterine contractions
-continuous external monitoring of uterine contractions
-intermittent monitoring of the uterine resting tone
-intermittent fetal heart rate auscultation

-Continuous internal monitoring of uterine contractions

Explanation:

Gravida and para are clinical terms that correlate to pregnancy and birth. The total number of validated pregnancies of a woman is known as Gravida (gravidity) irrespective of their outcome. Para (parity) is defined as the number of births given by a woman.

In the situation of a client with gravida 2 para 1, it indicates that the client already have two pregnancy and one birth.

On the other hand, the client already had a previous cesarean section ( a delivery of a baby through surgery by an incision through the mother's abdomen and uterus.)

Also, the client has had no complications; &

Prefers to have the delivery vaginally.

∴ From the foregoing, the best monitoring system best assesses for the ability to delivery vaginally is Continuous internal monitoring of uterine contractions. This is because it is pertinent to monitor the uterine contractions. The nurse would also require to take a view of  and go after the intensity of the contractions to keep clear that the uterine does not rupture.

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