Answers (Verified Answers)
1. - performing external palpations of the maternal uterus through the ab-
dominal wall to determine the number of fetuses, the presenting part,
fetal lie, fetal attitude, degree of descent of the presenting part into the
pelvis, and the location of the fetus's back to assess the fetal heart tones
ANS: leopold maneuvers
2. Fetal heart tones should be assessed below the mother's umbilicus in
either the right or left lower quadrant of the abdomen ANS: vertex
presentation
3. Fetal heart tones should be assessed above the mother's umbilicus in
either the right- or left-upper quadrant of the abdomen. ANS: breech
presentation
4. - ask the client to empty the bladder before beginning the assessment
- place client in supine position with a pillow under the head, and have
both knees flexed
,- place a small , rolled towel under the client's right or left hip to displace
the uterus off the major blood vessels to prevent supine hypotensive
syndrome-
ANS: considerations
5. - every 30-60 minutes ANS: intermittently auscultate during the latent
phase
6. - every 15-30 minutes ANS: intermittently auscultate during the active
phase
7. - every 5-15 minutes ANS: intermittently auscultate during the second
stage
8. - determine active labor
- rupture of membranes spontaneously or artificially
- preceding and subsequent to ambulation
- prior to following administration of or a change in medication analgesia
- at peak action of anesthesia
- following vaginal examination
- following expulsion of an enema
- after urinary catheterization
- abnormal or excessive uterine contractions ANS: indications for
, leopold maneu- vers
9. 110-160 w/ increases and decreases from baseline ANS: normal FHR
10.- accomplished by securing an ultrasound transducer over the clients
abdomen, which records the FHR pattern and a tocotransducer on the
fundus that records the uterine contraindications ANS: continuous
electronic fetal monitoring
11. - multiple gestations
- oxytocin infusion
- placenta previa