When assessing the fetus using Leopold maneuver, the nurse feels a round, firm, movable fetal part in the fundal portion of the uterus and a long, smooth surface in the mother's right side close to midline
What is the likely position of the fetus? 1. ROA
2. LSP
3. RSA
4. LOA
3
1, 2, 4. Incorrect. Fetal position is denoted with a three-letter abbreviation. The first letter indi-cates the presenting part in either the right or left side of the maternal pelvis. The second letter indicates the anatomic presenting part of the fetus. The third letter stands for the location of the presenting part in relation to anterior, posterior, or transverse portion of the maternal pelvis. Pal-pation of a round firm fetal part in the fundal portion of the uterus would be the fetal head, indi-cating that the fetus is in a breech position with the sacrum as the presenting part in the maternal pelvis. The fetal spine palpated along the mother's right side denotes the location of the present-ing part in the mother's pelvis. Lastly, the ability to palpate the fetal spine indicates that the fetus is anteriorly positioned in the maternal pelvis.
3. Correct. The fetus is positioned anteriorly in the right side of the maternal pelvis with the sa-crum as the presenting part. RSA is the correct three-letter abbreviation to indicate this fetal po-sition.
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A nurse is working with a male client in a mental health outpatient clinic. The client voices a desire to become more autonomous. Which goal will assist the client in becoming more autonomous?
a. The client will check his calendar each night to plan for commitments scheduled on the following day. b. The nurse will remind the client weekly of his appointment at the clinic for the following week. c. The client will ask the nurse to call him to remind him of his appointment. d. The nurse will complete the client's calendar of daily commitments scheduled for the week.
Following an intravenous pyelogram, the nurse should watch the patient closely for a delayed reaction to the dye, usually occurring within ___ to ___ hours following the procedure
ANS:
The relationships among nursing, patients, health, and environment are the basis for:
a. care plans. b. nursing models. c. physician's orders. d. evaluation of patient care.
In her work with pregnant women of various cultures, a nurse practitioner has observed various practices that seemed strange or unusual. She has learned that cultural rituals and practices during pregnancy seem to have one purpose in common
Which statement best describes that purpose? a. To promote family unity b. To ward off the "evil eye" c. To appease the gods of fertility d. To protect the mother and fetus during pregnancy