A patient at 37 weeks' gestation is being seen in the prenatal ...

[maegan_martin]

A patient at 37 weeks' gestation is being seen in the prenatal clinic. Where would the nurse expect the fundal height to be palpated?
 
  a. At the xiphoid process
  b. At a point between the umbilicus and the xiphoid
  c. At the umbilicus
  d. At a level directly above the symphysis pubis

Question 2

While performing Leopold's maneuvers on a woman in early labor, the nurse palpates a flat area in the fundal region, a hard round mass on the left side, a soft round mass on the right side, and small parts just above the symphysis.
 
  The nurse concludes which of the following?
  a. The fetal position is right occiput posterior.
  b. The fetal attitude is flexed.
  c. The fetal presentation is scapular.
  d. The fetal lie is vertical.

[mtmmmmmk]

Answer to Question 1

ANS: a
Feedback
a. At 36 weeks' gestation, the fundus should be felt at the xiphoid process.
b. At 36 weeks' gestation, the fundus should be felt at the xiphoid process.
c. At 20 weeks' gestation, the fundus should be felt at the umbilicus.
d. At 12 weeks' gestation, the fundus should be felt directly above the symphysis pubis.

Answer to Question 2

ANS: c
Feedback
a. This is a shoulder presentation.
b. It is not possible to determine whether the attitude is flexed or not when doing Leopold's maneuvers.
c. This is a shoulder presentation.
d. The lie is transverse or horizontal.

[maegan_martin]

Gracias!

[juliaf]

Excellent