The nurse is assisting the nurse midwife in preparing to perform Leopold's maneuver on a pregnant client. The nurse instructs the client about the procedure and then:
1. Asks the client to urinate
2. Asks the client to drink 8 oz of water
3. Locates the fetal heart tones with a fetoscope
4. Warms the sonogram gel before placing it on the client's abdomen
1
Rationale: An empty bladder contributes to a woman's comfort during this examination. Drink-ing water to fill the bladder and warming sonogram gel may be performed prior to a sonography (ultrasound). Often, Leopold's maneuver is performed to aid the examiner in locating the fetal heart tones.
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