Difficulty: Medium
Average Score: 65%
Simulated
Passage / Scenario
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side.A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Correct answer
D
Rationale
The right lower quadrant is the most likely location for fetal heart tones. The round, firm, movable part in the fundus indicates a breech position, and the long, smooth surface on the right side suggests the fetal spine is on the same side, placing the fetal chest in the lower right quadrant.