hard · NCLEX-RN health-promotion
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).
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