Author Question: The healthcare provider is using Leopold maneuvers to assess fetal positioning. Which maneuver is ... (Read 58 times)

schs14 · **on:** Jun 25, 2018

The healthcare provider is using Leopold maneuvers to assess fetal positioning. Which maneuver is being used in the image?

1. First.
2. Second.
3. Third.
4. Fourth.

Question 2

The nurse is discussing dietary recommendations with a client who has been experiencing a larger than recommended weight gain during her pregnancy.

The client reports reducing the amount of empty calories and of red meat consumed while significantly increasing intake of fish, poultry, fresh fruits, and vegetables. Based on this data, which response by the nurse is the most appropriate?
1. It looks like you have things under control. Do you have any other questions?
2. Have you considered seeing a dietitian for nutritional counseling?
3. Tell me more about the meat and fish you are eating each day.
4. I think we should discuss the risky dietary choices you are making with the healthcare provider.

jojobee318 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 3
Leopold maneuvers utilize a specialized palpation of the abdomen in sequence to answer a series of questions to determine the position of the fetus in the abdomen and pelvis after 28 weeks gestation. The first maneuver places the ulnar surface of both hands on the fundus, with the fingertips pointing toward the midline to palpate the shape and firmness of the contents of the upper uterus. The second maneuver moves the hands along the sides of the abdomen to palpate the contour of the uterus. The third maneuver determines which part of the fetus is presenting at the pelvis. It is done by sliding the hands down to the area above the symphysis pubis to determine the presenting part of the fetus, the part of the fetus entering the pelvic inlet. The shape and firmness of the presenting part is palpated by using the thumb and third finger of one hand to grasp the presenting part. The fourth maneuver is used to determine the depth of the presenting part in the pelvis. It is done by placing the ulnar surface of your two hands on each side of the client's abdomen and following the uterine/fetal contour to the pelvic brim.

Answer to Question 2

Correct Answer: 3