While conducting Leopold maneuvers, the nurse determines that the fourth maneuver does not need to be done. What information caused the nurse to make this decision?
A) The fetus is in a cephalic presentation.
B) The fetus is not in a cephalic presentation.
C) The nurse palpated angular bumps and nodules.
D) The nurse palpated a round and hard mass that moves freely.
B
Feedback:
The fourth Leopold maneuver is only done if the fetus is in a cephalic presentation because it determines fetal attitude and degree of fetal extension into the pelvis. Angular bumps and nodules indicate the fetal knees, elbows, hands, and fingers. A round hard mass that moves freely is the fetal head.
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