How is this fetus presenting?
A 26-year-old white female comes to your clinic at 38 weeks, complaining of intermittent contractions. They last for 30 seconds and are coming every 10 minutes. Her prenatal course has so far been uneventful. You send her to labor and delivery for a labor assessment. On vaginal examination she has effaced 4 cm, but you cannot feel a presenting part. You admit her for active labor; however, you wish to assess if she is vertex (baby's head is down), so you do the Leopold's maneuver. Palpating the upper pole with your hands, you feel a firm round mass. Placing your hand along the right side of her abdomen, you feel a smooth firmness. Palpating your other hand along the left side of her abdomen, you feel irregular bumps. Above the pelvic brim you feel a firm irregular mass. While awaiting ultrasound to confirm your diagnosis, you write the pertinent orders.
A) Vertex
B) Breech
C) Transverse
B) Breech
When a baby is breech you often cannot feel a presenting part with the cervical check. In a breech lie, the irregular firm mass (the buttock) will be at the pelvis, while the firm round mass (the head) will be at the uterine pole.
You might also like to view...
Nurses work under the nursing practice act within their state of employment. The nurse should be aware that this represents which type of law?
a. administrative c. criminal b. constitutional d. statutory
An older male patient admits to doing many things in life that he is not proud of and is having a difficult time getting them out of his mind. How should the nurse respond to the patient's statement?
A) "Remember that no one has lived a perfect life.". B) "Is there anyone that you might want to ask forgiveness from?" C) "Is there anything I can do to help you focus on more positive things?" D) "Do you think that you were really any worse than most other people?"
A self-report method used to measure subjective experiences such as pain and fatigue is which of the following?
A) Observation B) In vivo measurements C) Visual analog scales D) Likert scales
The second day after admission with a fractured pelvis, a 64-year-old patient suddenly develops confusion. Which action should the nurse take first?
a. Take the blood pressure. b. Assess patient orientation. c. Check the oxygen saturation. d. Observe for facial asymmetry.