Difficulty: Medium
Average Score: 78%
Simulated
The experienced nurse is observing the new nurse determine the fetal position of the pregnant client using Leopold maneuver. The experienced nurse determines that the new nurse correctly identifies the first Leopold maneuver when placing the hands in which position illustrated first?
Correct answer
B
Rationale
This illustration shows the first step of LeopoldÔÇÖs maneuver. The nurse palpates the fundus to determine which fetal body part (e.g., head or buttocks) occupies the uterine fundus. Image A shows the fourth Leopold maneuver. The nurseÔÇÖs fingertips are used to determine the location of the cephalic prominence. Image C shows the third Leopold maneuver (ÔÇ£Pawlik maneuverÔÇØ). During this maneuver the fetal part in the fundal region is compared with the part in the lower uterine segment. It is completed primarily to confirm that the fetus is in a cephalic (head) presentation. Image D shows the second Leopold maneuver. The second maneuver determines the location of the fetal back or spine.