A nurse in a prenatal clinic is caring for a client.

Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client’s right side.

In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?

Left lower

Right upper

Left upper

Right lower

Answer and Explanation

The Correct Answer is D

Choice A rationale
The left lower quadrant is not the most likely location to auscultate fetal heart tones if the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client’s right side. These findings suggest that the fetus is in a breech position with its back on the left side, which would place the fetal chest, and thus the heart tones, in the right lower quadrant.
Choice B rationale
The right upper quadrant is not the most likely location to auscultate fetal heart tones if the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client’s right side. These findings suggest that the fetus is in a breech position with its back on the left side, which would place the fetal chest, and thus the heart tones, in the right lower quadrant.
Choice C rationale
The left upper quadrant is not the most likely location to auscultate fetal heart tones if the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client’s right side. These findings suggest that the fetus is in a breech position with its back on the left side, which would place the fetal chest, and thus the heart tones, in the right lower quadrant.
Choice D rationale
The right lower quadrant is the most likely location to auscultate fetal heart tones if the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on

the client’s right side. These findings suggest that the fetus is in a breech position with its back on the left side, which would place the fetal chest, and thus the heart tones, in the right lower quadrant.

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Correct Answer is D

Explanation

Choice A rationale
Thrombophlebitis is a condition where a blood clot in a vein causes inflammation and pain. While it can occur postpartum, it is not directly related to the weight of the newborn.
Choice B rationale
Retained placental fragments can occur after childbirth and can lead to postpartum hemorrhage or infection. However, this complication is not directly related to the weight of the newborn.
Choice C rationale
Puerperal infection, also known as postpartum infection, can occur after childbirth. However, it is not directly related to the weight of the newborn.
Choice D rationale
Uterine atony, a condition where the uterus fails to contract after the delivery of the baby, is a common cause of postpartum hemorrhage. A larger newborn, such as one weighing 9 lb 6 oz, can overstretch the uterus, increasing the risk of uterine atony.

A. A client who is scheduled for discharge following a laparoscopic tubal ligation B. A client who has preeclampsia with a BP of 138/90 mm Hg C. A client who experienced a vaginal birth 24 hr ago and reports no bleeding D. A client who experienced a cesarean birth 4 hr ago and reports pain .

Correct Answer is D

Explanation

The correct answer is D. A client who experienced a cesarean birth 4 hr ago and reports pain. Pain after a cesarean birth could indicate complications such as infection or hemorrhage and should be addressed immediately.

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A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client’s right side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Explanation

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A nurse in a prenatal clinic is caring for a client.

Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client’s right side.

In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?