Difficulty: Medium
Average Score: 69%
Simulated
Passage / Scenario
A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation.Identify the sequence of actions the nurse should take.
Correct answer
A, B, D, E, C
Rationale
The correct order is A, B, D, E, C. Firstly, instructing the client to empty their bladder ensures a clearer examination. Positioning the client supine with knees flexed and placing a small, rolled towel under one hip helps relax the abdominal muscles for better palpation of the fundus (D). Palpating the fetal parts along both sides of the uterus (E) helps determine the fetal position. Finally, palpating the fetal part positioned above the symphysis pubis (C) allows for confirmation of the fetal presentation. This sequence ensures a systematic and thorough assessment of the fetal position and presentation.