A nurse is performing Leopold maneuvers on a patient in labor and determines the fetus is in an RSA position. What fetal presentations should the nurse document in the patient’s medical record?
Shoulder
Vertex
Mentum
Breech
The Correct Answer is D
Choice A rationale
The shoulder is not the correct fetal presentation in this case. The shoulder presentation, also known as a transverse lie, occurs when the fetus is positioned horizontally in the uterus, and the shoulder is the presenting part. This is not the case in an RSA (Right Sacrum Anterior) position, which indicates a breech presentation.
Choice B rationale
The vertex presentation, also known as a cephalic presentation, occurs when the fetus is positioned head down in the uterus. However, in an RSA position, the fetus is in a breech presentation, not a vertex presentation.
Choice C rationale
The mentum (face) presentation is a rare type of fetal presentation where the neck of the fetus is hyperextended, and the face presents at the cervix. This is not the case in an RSA position, which indicates a breech presentation.
Choice D rationale
In an RSA (Right Sacrum Anterior) position, the fetus is in a breech presentation. This means that the buttocks or feet of the fetus are positioned to enter the birth canal first. Therefore, the nurse should document a breech presentation in the patient’s medical record.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
A patient’s address is indeed an example of personally identifiable information. This statement is correct and does not indicate a need for further teaching.
Choice B rationale
HIPAA is indeed a federal law, not a state law. This statement is correct and does not indicate a need for further teaching.
Choice C rationale
HIPAA did establish regulations of individually identifiable health information in verbal, electronic, or written form. This statement is correct and does not indicate a need for further teaching.
Choice D rationale
Information about a client cannot be disclosed to family members at any time without the client’s consent. This statement indicates a need for further teaching.
Correct Answer is A
Explanation
Step 1 is… The provider has prescribed 50 mg of quetiapine to be taken orally every 12 hours. This means that each dose should be 50 mg / 2 = 25 mg.
Step 2 is… The available medication is quetiapine 25 mg tablets. Therefore, the nurse should administer 1 tablet per dose.
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