The student nurse is performing Leopold maneuvers on a client in labor. For which action should the staff nurse intervene?
1. After determining where the back is located, the cervix is assessed.
2. The upper portion of the uterus is palpated, and then the middle section.
3. Following voiding, the client's abdomen is palpated from top to bottom.
4. The client is assisted into the supine position, and the position of the fetus is assessed.
1
Explanation:
1. The cervical examination is not a part of Leopold maneuvers; abdominal palpation is the only technique used for the Leopold maneuver.
2. This is correct order of the first and second Leopold maneuvers.
3. The client is instructed to void prior to beginning Leopold maneuvers to facilitate comfort; Leopold maneuvers are essentially palpation of the uterus through the abdomen, beginning at the fundus and ending near the cervix.
4. Determination of fetal position and station is the point of Leopold maneuvers. The client is supine to facilitate uterine palpation.
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