Because risk for childbirth complications may be revealed, nurses should know that the PMI of the FHT is:
1. usually directly over the fetal abdomen.
2. in a vertex position, heard above the mother's umbilicus.
3. heard lower and closer to the midline of the mother's abdomen as the fetus des-cends and rotates internally.
4. in a breech position, heard below the mother's umbilicus.
3
1. Incorrect. The PMI of the FHT is usually directly over the fetal back.
2. Incorrect. In a vertex position, it is heard below the mother's umbilicus.
3. Correct. Nurses should be prepared for the shift.
4. Incorrect. In a breech position, it is heard above the mother's umbilicus.
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