Using Leopold maneuvers to assess fetal position, the nurse finds a soft rounded prominence at the level of the fundus, a hard round prominence just above the symphysis pubis, and nodulations on the left side of the uterus
How should the nurse document the fetal position?
a.
Right occiput anterior (ROA), vertex
b.
Left occiput anterior (LOA), vertex
c.
Right occiput transverse (ROT), breech
d.
Left occiput anterior (LOA), breech
ANS: A
Fetal position can be determined by the Leopold maneuver, which defines the relationship of the presenting part to the maternal pelvis quadrant. A soft rounded prominence at the level of the fundus, a hard round prominence just above the symphysis pubis, and nodulations on the left side of the uterus indicate a right occiput anterior (ROA), vertex positioning.
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