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

Answer and Explanation

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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Correct Answer is B

Explanation

A. Determine the size of the fetus: Although Leopold’s maneuvers can give an idea of fetal size, the primary purpose is to assess the fetal position.

B. Determine the position of the fetus: Leopold's maneuvers are used to determine the position and presentation of the fetus in utero, aiding in delivery management.

C. Determine the size of the woman's pelvis: Pelvimetry, not Leopold’s maneuvers, is used to assess the size of the pelvis.

D. Determine the fundal height: Fundal height is measured separately to assess fetal growth, not with Leopold’s maneuvers.

A. Encouraging the client to rest between contractions B. Turning the client onto her left side C. Massaging the client's back D. Administering prescribed analgesic medication

Correct Answer is C

Explanation

A. Encouraging the client to rest between contractions: While resting between contractions is important, it is not directly related to the gate control theory of pain, which involves blocking pain signals.

B. Turning the client onto her left side. Positioning can help with circulation and comfort, but it does not directly reflect the gate control theory of pain.

C. Massaging the client's back. The gate control theory suggests that non-painful stimuli, such as massage, can "close the gate" to painful stimuli and help reduce the sensation of pain.

D. Administering prescribed analgesic medication: While medications help relieve pain, they are not based on the gate control theory, which focuses on physical interventions to block pain signals.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Leopold's maneuvers are performed to:

Correct Answer is B

Explanation

A nurse is assisting with the care of a client who is in labor. Which of the following nursing actions reflects application of the gate control theory of pain?

Correct Answer is C

Explanation

What is considered non-pharmacological pain management from the list below? (please select all that apply)

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