A woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level?
Select one:

Not palpable above the symphysis at this time

5 cm above the umbilicus

At the level of the umbilicus

Slightly above the symphysis pubis

Answer and Explanation

The Correct Answer is A

a.   At 9 weeks of gestation, the uterus is still within the pelvic cavity and not palpable above the symphysis pubis.
b.   The fundus is not expected to be palpable 5 cm above the umbilicus until around 20 weeks of gestation.
c.   The fundus is not expected to be palpable at the level of the umbilicus until around 20 weeks of gestation.

d.   The fundus is not expected to be palpable slightly above the symphysis pubis at 9 weeks of gestation.

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Correct Answer is C

Explanation

a. ROA means right occiput anterior, which would imply that the fetal back is on the mother's right side.
b. RSA means right sacrum anterior, which would imply that the fetal buttocks are in the pelvis inlet and the fetal head is in the fundus.
c. LOA, which means left occiput anterior means that the fetus is in a longitudinal lie, with its head as the presenting part, facing the right posterior quadrant of the mother's pelvis, and its back on the mother's left anterior side. This is one of the most common and favorable fetal positions for delivery.
d. LSP means left sacrum posterior, which would imply that the fetal buttocks are on the mother's left side and slightly rotated toward the back (posterior).

A. The cervix is dilated 2 cm, it is effaced 80%, and the presenting part is 2 inches below the ischial spines. B. The cervix is 2 cm dilated, it is effaced 80%, and the presenting part is 2 cm above the ischial spines. C. The cervix is dilated 2 cm, it is effaced 80%, and the presenting part is 2 cm below the ischial spines. D. The cervix is effaced 2 cm, it is dilated 80%, and the presenting part is 2 cm above the ischial spines.

Correct Answer is C

Explanation

a. This is an incorrect interpretation of the assessment.
b. This is an incorrect interpretation of the assessment.
c. This is the correct interpretation of the assessment indicating that the labor is progressing well and the baby is descending into the pelvis.
d. This is an incorrect interpretation of the assessment.

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A woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level? Select one:

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Naxlex Comprehensive Predictor Exams

When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm, movable fetal part in the pelvis inlet and a long, smooth, and soft surface in the mother's left side close to the midline. What is the likely position of the fetus? Select one:

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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A woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level?
Select one: