Author Question: The nurse is palpating the abdomen of a woman who is 35 weeks' pregnant and notices that the fetal ... (Read 89 times)

Marty · **on:** Jun 25, 2018

The nurse is palpating the abdomen of a woman who is 35 weeks' pregnant and notices that the fetal head is facing downward toward the pelvis. The nurse would document this as fetal:

a. Lie.
b. Variety.
c. Attitude.
d. Presentation.

Question 2

When auscultating the anterior thorax of a pregnant woman, the nurse notices the presence of a murmur over the second, third, and fourth intercostal spaces. The murmur is continuous but can be obliterated by pressure with the stethoscope

or finger on the thorax just lateral to the murmur. The nurse interprets this finding to be:
a.
Murmur of aortic stenosis.
b.
Most likely a mammary souffle.
c.
Associated with aortic insufficiency.
d.
Indication of a patent ductus arteriosus.

bimper21 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
Fetal presentation describes the part of the fetus that is entering the pelvis first. Fetal lie is orientation of the fetal spine to the maternal spine. Fetal attitude is the position of fetal parts in relation to each other, and fetal variety is the location of the fetal back to the maternal pelvis.

Answer to Question 2

ANS: B
Blood flow through the blood vessels, specifically the internal mammary artery, can often be heard over the second, third, and fourth intercostal spaces. This finding is called a mammary souffle, but it may be mistaken for a cardiac murmur. The other options are incorrect.