While conducting Leopold maneuvers, the nurse determines that the ...

[mwit1967]

While conducting Leopold maneuvers, the nurse determines that the fourth maneuver does not need to be done. What information caused the nurse to make this decision?
 
  A) The fetus is in a cephalic presentation.
  B) The fetus is not in a cephalic presentation.
  C) The nurse palpated angular bumps and nodules.
  D) The nurse palpated a round and hard mass that moves freely.

Question 2

After assessment, the nurse determines that a pregnant patient's fetus has a face presentation that is pointing to the patient's left side with transverse pointing. How should the nurse document this assessment finding?
 
  A) LCT
  B) LMT
  C) LOT
  D) ROA

[katheyjon]

Answer to Question 1

B
Feedback:
The fourth Leopold maneuver is only done if the fetus is in a cephalic presentation because it determines fetal attitude and degree of fetal extension into the pelvis. Angular bumps and nodules indicate the fetal knees, elbows, hands, and fingers. A round hard mass that moves freely is the fetal head.

Answer to Question 2

B
Feedback:
Fetal position is the relationship of the presenting part to a specific quadrant and side of the patient's pelvis. The maternal pelvis is divided into four quadrants according to the mother's right and left. Four parts of a fetus are landmarks to describe the relationship of the presenting part to one of the pelvic quadrants that include the occiput (O), the chin (mentum M), the sacrum (Sa), or the acromion process (A). Position is indicated by an abbreviation of three letters. The first letter defines whether the landmark is pointing to the patient's right (R) or left (L).The middle letter denotes the fetal landmark. The last letter defines whether the landmark points anteriorly (A), posteriorly (P), or transversely (T). The nurse should document LMT. The other choices are incorrect interpretation of the findings and use of the abbreviations.