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:
ROA
RSA
LOA
LSP
The Correct Answer is C
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).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. Variable decelerations occur due to umbilical cord compression, typically when the cord is compressed during contractions or when the cord is wrapped around the fetal neck or body.
b. Early decelerations are typically related to fetal head compression and are not associated with variable decelerations.
c. Late decelerations are caused by uteroplacental insufficiency and are not associated with variable decelerations.
d. IV narcotic analgesics can cause late decelerations, not variable decelerations.
Correct Answer is B
Explanation
a. While breast self-examination (BSE) can be done at any time, the best time is 5 to 7 days after menses ceases when the breasts are less likely to be tender or swollen.
b. This is the best time for BSE when the breasts are least likely to be tender or swollen.
c. This is not the best time for BSE.
d. This is not the best time for BSE.
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