hard · NCLEX-RN Health Promotion and Maintenance
Client: Maya, age 26. Setting: Antepartum Clinic. Gestational Age: 36 weeks and 2 days. Reason for Visit: Routine prenatal check-up. History: Uneventful pregnancy. Vital Signs: BP 114/70 mm Hg, HR 72/min, RR 12/min, SpO2 99% on room air.
The nurse is preparing to perform Leopold's maneuvers to determine fetal presentation and position. Place the clinical steps in the correct chronological order to safely and accurately perform this assessment.
- Instruct the client to empty their bladder completely.
- Position the client supine with a small wedge under the right hip.
- Palpate the uterine fundus to determine whether the head or breech is in the upper uterus (First Maneuver).
- Palpate the sides of the uterus to locate the fetal back and small parts (Second Maneuver).
- Palpate the lower uterine segment above the symphysis pubis to identify the presenting part (Third Maneuver).
Sign up free to see the explanation and track your rank →
More NCLEX-RN Health Promotion and Maintenance practice
- Which task is most appropriate for the nurse to delegate to an experienced Unlicensed Assi
- Which procedure should the nurse absolutely avoid?
- Which finding is most indicative of severe volume depletion in this client?
- Which laboratory result most strongly supports a diagnosis of HELLP syndrome?
- Which site is most appropriate for the injection?
- Which behavior, if absent, would most concern the nurse?
- What is the most effective communication strategy to use with this toddler?
- Which teaching point is most critical for the nurse to emphasize to prevent fetal macrosom