Here is the problem that I am trying to solve:
A hospital handles 20 births a day. Ten percent require a special fetal monitor. Find the expected number of days out of the year when the hospital will need at least two monitors.
Any help would be great.
As also pointed out in the comments, we are assuming that the number of samples is so large such that the probability that each newborn needs the device is $0.1$, independent of others.
Assume any day. The probability that no newborn needs the monitor is $0.9^{20}$. Similarly, the probability that exactly one monitor is needed is $(20)(0.1)0.9^{19}$. Hence the probability that at least two monitors are needed becomes $p=1-0.9^{20}-(20)(0.1)0.9^{19}=0.6083$.
To calculate the expectation, notice that the number of days that the desired event happen follows a binomial $n=365,p$ distribution. Therefore, the expected number of days that this event happens is $365p=222.3$ days.