The nurse performs Leopold’s maneuvers for a client admitted in labor. Which is the main goal of Leopold’s maneuvers?

Choice A rationale

Prostaglandins are involved in labor but primarily act to ripen the cervix and induce uterine contractions, not prolong labor. They are produced by the fetus and placenta during pregnancy.

Choice B rationale

Catecholamines, such as epinephrine and norepinephrine, are released in response to stress and anxiety, leading to vasoconstriction, reduced blood flow to the uterus, and prolonged labor. They are produced by the adrenal glands.

Choice C rationale

Oxytocin is a hormone that stimulates uterine contractions and accelerates labor. It is often administered to induce or augment labor, rather than prolong it. It is produced in the hypothalamus.

Choice D rationale

Orexin, also known as hypocretin, is involved in regulating arousal, wakefulness, and appetite, but has no direct role in labor. It is produced in the hypothalamus.

Choice A rationale

Fetal movement below normal may indicate compromised oxygenation or fetal distress. Reporting such observations is crucial for further assessment and timely intervention.

Choice B rationale

Consuming food and resting can increase glucose levels, potentially enhancing fetal movement. Monitoring for 1 hour helps to evaluate if decreased movement persists, indicating the need for further assessment.

Choice C rationale

Pregnant women should not lay prone for kick counts. This position can compress major blood vessels, reducing blood flow and oxygenation to the fetus. The left lateral position is preferred.

Choice D rationale

Reduced fetal movement can indicate decreased oxygenation in compromised fetuses. Monitoring fetal activity helps assess fetal well-being and identify potential hypoxia or distress.