The student nurse is to perform Leopold's maneuver on a laboring client. Which assessment requires intervention by the staff nurse?
1. Client is assisted into supine position, and the position of the fetus is assessed.
2. The upper portion of the uterus is palpated, then the middle section.
3. After determining where the back is located, the cervix is assessed.
4. Following voiding, the client's abdomen is palpated from top to bottom.
3
Rationale:
1. Determination of fetal position and station is the point of Leopold's maneuver. The client is supine to facilitate uterine palpation.
2. This is correct order of the first and second Leopold's maneuver.
3. The cervical exam is not a part of Leopold's maneuvers abdominal palpation is the only technique used for Leopold's maneuver.
4. The client is instructed to void prior to beginning Leopold's maneuver to facilitate comfort; Leopold's maneuver is essentially palpation of the uterus through the abdomen, beginning at the fundus and ending near the cervix.
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