The nurse is performing Leopold's maneuvers to determine fetal ...

[cherise1989]

The nurse is performing Leopold's maneuvers to determine fetal presentation, position, and lie. Which action would the nurse do first?
 
  A) Feel for the fetal buttocks or head while palpating the abdomen.
  B) Feel for the fetal back and limbs as the hands move laterally on the abdomen.
  C) Palpate for the presenting part in the area just above the symphysis pubis.
  D) Determine flexion by pressing downward toward the symphysis pubis.

Question 2

After pelvic measurements, a patient who is 20 weeks pregnant is informed that the diagonal conjugate diameter is narrow. For which component of labor should the nurse plan care to address?
 
  A) Powers
  B) Passage
  C) Passenger
  D) Psychological outlook

[pratush dev]

Answer to Question 1

A
Feedback:
The first maneuver involves feeling for the buttocks and head. Next the nurse palpates on which side the fetal back is located. The third maneuver determines presentation and involves palpating the area just above the symphysis pubis. The final maneuver determines attitude and involves applying downward pressure in the direction of the symphysis pubis.

Answer to Question 2

B
Feedback:
Passage focuses on the size and contour of the pregnant patient's pelvis. Passenger addresses the size, position, and presentation of the fetus. Powers determine if uterine factors for labor are adequate. Psychological outlook focuses on the pregnant patient's ability to view labor as a positive experience.