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 D
Explanation
A. "You will have a weight gain of 0.5 to 1.5 kilograms." Weight loss of around 0.5 to 1.5 kg (1-3 lbs) due to hormonal changes and fluid shifts is common before labor, not weight gain.
B. "You will have a decrease in vaginal discharge." There is typically an increase in vaginal discharge, known as the "bloody show," as the cervix prepares for labor.
C. "You will experience urinary retention." Increased pressure on the bladder due to the baby's descent into the pelvis usually causes increased urinary frequency, not retention.
D. "You will experience a surge of energy." Many women experience a "nesting" instinct or surge of energy in the days before labor, which is a common sign that labor is approaching.
Correct Answer is ["10"]
Explanation
Using the formula:
Doserequired(mg) ÷ Doseavailable(mg/mL) = Volume(mL)
50 mg ÷ 5 mg/mL = 10 mL
Therefore, the nurse should administer 10 mL of indomethacin.
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