The nurse performs Leopold’s maneuvers for a client admitted in labor. Which is the main goal of Leopold’s maneuvers?
To determine the presentation and position of the fetus.
To determine whether the client’s cervix has dilated.
To assess the frequency and intensity of the contractions.
To assess whether membranes have been ruptured.
The Correct Answer is A
Choice A rationale
Leopold's maneuvers help determine the fetus's presentation (head, breech) and position (left, right) within the uterus for optimal birth planning.
Choice B rationale
Cervical dilation is assessed through a vaginal exam, not through Leopold's maneuvers, which focus on external palpation.
Choice C rationale
Frequency and intensity of contractions are monitored using a tocodynamometer, not determined by Leopold's maneuvers.
Choice D rationale
Membrane rupture is assessed by inspecting fluid leakage or testing fluid, not by Leopold's maneuvers, which assess fetal positioning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Polyhydramnios is characterized by excessive amniotic fluid, exceeding 24 cm in amniotic fluid index. This can cause uterine distension and complicate labor and delivery.
Choice B rationale
Fetal congenital anomalies, growth restriction, or distress are possible complications of polyhydramnios, but they are not definitive diagnoses for the condition itself.
Choice C rationale
Carrying more than one fetus is associated with increased amniotic fluid levels, but polyhydramnios specifically refers to the excess fluid, not the number of fetuses.
Choice D rationale
Elevated alpha-fetoprotein (AFP) levels can indicate neural tube defects or other fetal anomalies, but it is not a direct cause or indicator of polyhydramnios.
Correct Answer is A
Explanation
Choice A rationale
A reactive non-stress test shows at least two accelerations of the fetal heart rate, 15 beats per minute above baseline, lasting 15 seconds or more within 20 minutes, indicating fetal well-being.
Choice B rationale
A non-reactive non-stress test lacks sufficient accelerations in the fetal heart rate. This may require further assessment, such as a biophysical profile, to ensure fetal well-being.
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