Difficulty: Medium
Average Score: 95%
Simulated
Passage / Scenario
Client at 39 weeks of gestation with fetus in left occipitoanterior positionA nurse is assessing a client who is at 39 weeks of gestation and determines that the fetus is in a left occipitoanterior position. On which of the following sites should the nurse place the external fetal monitor to hear the point of maximum impulse of the fetal heart rate?
Correct answer
C
Rationale
In the left occipitoanterior position, the fetal back is on the left side of the maternal abdomen, and the heart sounds are best heard in the left lower quadrant, where the fetal heart is closest.