ATI CAPSTONE Maternal Newborn Questions & Answers Correct 100%

leopold maneuvers - ANSWERS- performing external palpations of the maternal uterus through the abdominal 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 vertex presentation - ANSWERSFetal heart tones should be assessed below the mother's umbilicus in either the right or left lower quadrant of the abdomen breech presentation - ANSWERSFetal heart tones should be assessed above the mother's umbilicus in either the right- or left-upper quadrant of the abdomen. considerations - ANSWERS- 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 intermittently auscultate during the latent phase - ANSWERS- every 30-60 minutes intermittently auscultate during the active phase - ANSWERS- every 15-30 minutes intermittently auscultate during the second stage - ANSWERS- every 5-15 minutes indications for leopold maneuvers - ANSWERS- 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 normal FHR - ANSWERS110-160 w/ increases and decreases from baseline continuous electronic fetal monitoring - ANSWERS- 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