During maternal assessment, the nurse determines the fetus to be ...

[Destiiny22]

During maternal assessment, the nurse determines the fetus to be in a left occiput anterior (LOA) position. Auscultation of the fetal heart rate should begin in the:
 
  1. Right upper quadrant.
  2. Left upper quadrant.
  3. Right lower quadrant.
  4. Left lower quadrant.

Question 2

Which of the following may represent an ethical and legal issue for the nurse?
 
  a. Obtaining informed consent for tubal ligation in a client with borderline intellectual capacity
  b. Providing information regarding reproductive choices for a 17-year-old pregnant client
  c. Providing fertility information to a couple with a known genetic disorder
  d. Referring an 18-year-old client desiring termination of pregnancy to an abortion clinic

[skipfourms123]

Answer to Question 1

4
Rationale:
1. The fetal heart rate is best heard at the fetal back. In a cephalic presentation, the heart rate is heard in the lower quadrants. Because this fetus has been identified as being on the mother's left side, the heart tones should be on the mother's left lower quadrant.
2. The fetal heart rate is best heard at the fetal back. In a cephalic presentation, the heart rate is heard in the lower quadrants. Because this fetus has been identified as being on the mother's left side, the heart tones should be on the mother's left lower quadrant.
3. The fetal heart rate is best heard at the fetal back. In a cephalic presentation, the heart rate is heard in the lower quadrants. Because this fetus has been identified as being on the mother's left side, the heart tones should be on the mother's left lower quadrant.
4. The fetal heart rate is best heard at the fetal back. In a cephalic presentation, the heart rate is heard in the lower quadrants. Because this fetus has been identified as being on the mother's left side, the heart tones should be on the mother's left lower quadrant.

Answer to Question 2

A
Obtaining informed consent for tubal ligation in a client with borderline intellectual capacity has both legal and ethical implications. Providing a client with information has primarily ethical implications. Referring clients has primarily ethical implications.