The student nurse is to perform Leopold's maneuvers on a laboring client. Which assessment requires intervention by the staff nurse?
1. The patient 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 patient's abdomen is palpated from top to bottom.
3
Rationale 1: Determination of fetal position and station is the point of Leopold's maneuvers. The patient is supine to facilitate uterine palpation.
Rationale 2: This is correct order of the first and second Leopold's maneuvers.
Rationale 3: The cervical exam is not part of Leopold's maneuvers. Abdominal palpation is the only technique used for Leopold's maneuvers.
Rationale 4: The patient is instructed to void prior to beginning Leopold's maneuvers to enhance comfort. Leopold's maneuvers are essentially palpation of the uterus through the abdomen, beginning at the fundus and ending near the cervix.
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