A nurse is examining a client who is in active labor and observes that the presenting part is in the left occiput posterior position.
What is the clinical interpretation of this finding?

The posterior fontanel is palpable.

The lowermost portion of the fetus is at the level of the ischial spines.

The largest fetal diameter has passed through the pelvic outlet.

The fetal head is in the left occiput posterior position.

Answer and Explanation

The Correct Answer is D

Choice A rationale
The palpability of the posterior fontanel is not related to the position of the fetus.
Choice B rationale
The level of the ischial spines refers to the station of the fetus, not its position.
Choice C rationale
The passage of the largest fetal diameter through the pelvic outlet is a stage of labor, not a fetal position.
Choice D rationale
This is the correct answer. The left occiput posterior position refers to the position of the fetal head.

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Correct Answer is D

Explanation

Choice A rationale
The left lower quadrant is not the most likely location to auscultate fetal heart tones if the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client’s right side. These findings suggest that the fetus is in a breech position with its back on the left side, which would place the fetal chest, and thus the heart tones, in the right lower quadrant.
Choice B rationale
The right upper quadrant is not the most likely location to auscultate fetal heart tones if the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client’s right side. These findings suggest that the fetus is in a breech position with its back on the left side, which would place the fetal chest, and thus the heart tones, in the right lower quadrant.
Choice C rationale
The left upper quadrant is not the most likely location to auscultate fetal heart tones if the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client’s right side. These findings suggest that the fetus is in a breech position with its back on the left side, which would place the fetal chest, and thus the heart tones, in the right lower quadrant.
Choice D rationale
The right lower quadrant is the most likely location to auscultate fetal heart tones if the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on

the client’s right side. These findings suggest that the fetus is in a breech position with its back on the left side, which would place the fetal chest, and thus the heart tones, in the right lower quadrant.

A. “It increases the fetal heart rate.”. B. “It promotes fetal lung maturity.”. C. “It is used to stop preterm labor contractions.”. D. “It halts cervical dilation.”.

Correct Answer is B

Explanation

Choice A rationale
Betamethasone does not typically increase the fetal heart rate14.
Choice B rationale
Betamethasone is often given to pregnant women who are at risk of preterm birth to promote fetal lung maturity. It helps speed up the development of the baby’s lungs and other organs14.
Choice C rationale

Betamethasone is not used to stop preterm labor contractions14.
Choice D rationale
Betamethasone does not halt cervical dilation14.

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A nurse is examining a client who is in active labor and observes that the presenting part is in the left occiput posterior position. What is the clinical interpretation of this finding?

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Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client’s right side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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A nurse is examining a client who is in active labor and observes that the presenting part is in the left occiput posterior position.
What is the clinical interpretation of this finding?