A nurse is assisting with performing Leopold maneuvers on a client who is in labor. Which of the following techniques should the nurse use to identify the fetal lie?
Apply palms of both hands to one side of uterus.
Stand facing client's feet with fingertips outlining cephalic prominence.
Palpate the fundus of the uterus.
Perform deep palpation of the uterus
The Correct Answer is C
A. Apply palms of both hands to one side of the uterus: This step helps identify the fetal position (whether the baby is facing left or right), not the fetal lie.
B. Stand facing the client's feet with fingertips outlining cephalic prominence. This maneuver helps determine fetal engagement, not fetal lie.
C. Palpate the fundus of the uterus. The fetal lie refers to whether the fetus is positioned longitudinally or transversely, and this is assessed by palpating the fundus to feel which part of the fetus is located there (e.g., head or buttocks).
D. Perform deep palpation of the uterus. Deep palpation helps identify the presenting part (what part of the fetus is entering the pelvis), not fetal lie.
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Related Questions
Correct Answer is B
Explanation
A. To identify the mother's risk for complications. While maternal complications may indirectly affect the fetus, fetal heart rate monitoring is focused on the baby’s well-being.
B. To monitor the baby's oxygenation and overall well-being. Fetal heart rate monitoring primarily assesses the baby’s oxygenation and detects signs of distress (e.g., bradycardia or tachycardia).
C. To predict the baby's birth weight. Fetal heart rate monitoring does not predict birth weight.
D. To determine the baby's gender. Fetal heart rate monitoring cannot determine the baby’s gender.
Correct Answer is D
Explanation
A. First stage: The first stage of labor begins with the onset of regular contractions and ends with full dilation (10 cm) of the cervix.
B. Third stage: The third stage of labor begins after the birth of the baby and ends with the delivery of the placenta.
C. Fourth stage: The fourth stage of labor involves the immediate postpartum period after the placenta is delivered, focusing on stabilization of the mother.
D. Second Stage: The second stage of labor begins with complete cervical dilation (10 cm) and ends with the birth of the baby.
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