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

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is B

Explanation

Step 1 is… The provider has prescribed 40 mg of fluoxetine to be taken orally daily.

Step 2 is… The available medication is fluoxetine 20 mg/mL. Therefore, the nurse should administer 40 mg ÷ 20 mg/mL = 2 mL89.

A. I will clean the inside of the container with a wipe. B. I will urinate a little then stop. C. I will use each cleansing wipe twice. D. I will use the cleansing wipe from front to back.

Correct Answer is B

Explanation

Choice A rationale

Cleaning the inside of the container with a wipe is not recommended. The container provided for a urine sample is sterile, and cleaning it could introduce bacteria, contaminating the sample.

Choice B rationale

The statement “I will urinate a little then stop” is correct. This is part of the process of collecting a midstream urine sample. The initial stream of urine can contain bacteria from the urethra or genital area, so it’s recommended to start urinating, then stop and collect the sample midstream.

Choice C rationale

The statement “I will use each cleansing wipe twice” is incorrect. Each cleansing wipe should only be used once to avoid reintroducing bacteria.

Choice D rationale

The statement “I will use the cleansing wipe from front to back” is correct. This is the proper way to clean the genital area to avoid introducing bacteria from the anal area into the urethra.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer fluoxetine 40 mg PO daily. The available medication is fluoxetine 20 mg/mL. How many mL should the nurse administer?

Correct Answer is B

Explanation

A nurse is instructing a female client on how to collect a midstream urine sample. Which statement from the client indicates they understand the procedure?

Correct Answer is B

Explanation

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