A nurse is 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 sides of the uterus
Grasp lower uterine segment between thumb and fingers
Palpate the fundus of the uterus
Place doppler to lower uterine segment
The Correct Answer is C
A. Apply palms of both hands to sides of the uterus:
Used in the second maneuver to determine the fetal position (e.g., back vs. limbs), not lie.
B. Grasp lower uterine segment between thumb and fingers:
Used in the third maneuver to identify the presenting part, not lie.
C. Palpate the fundus of the uterus:
This first maneuver helps identify the part of the fetus in the fundus (head or buttocks) to determine fetal lie.
D. Place doppler to lower uterine segment:
Helps to assess fetal heart tones, not lie.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Soft blowing sound that corresponds to the maternal pulse during auscultation of the uterus: This describes uterine souffle, not Goodell's sign.
B. Softening of the lower segment of the uterus: This is Hegar’s sign.
C. Bluish discoloration of the cervix: This is Chadwick’s sign.
D. Softening of the vaginal segment of the cervix: Goodell’s sign is softening of the cervix due to increased vascularity.
Correct Answer is B
Explanation
A. Decreased oxygenation of the placenta:
Opposite-this would reduce variability.
B. A working fetal nervous system:
Moderate variability is a reassuring sign of intact CNS and good oxygenation.
C. Pressure on the umbilical cord:
Causes variable decelerations, not variability in baseline.
D. Fetal distress due to head compression:
This can cause early decelerations but not baseline variability.
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