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A new mother asks the nurse when the soft spot on her sons head will go
away. The nurses answer is based
on the knowledge that the anterior fontanel closes after birth by _____
months.
a. 2 c. 12
b. 8 d. 18 - ✔✔ANS: D
The larger of the two fontanels, the anterior fontanel, closes by 18 months
after birth.
When assessing a woman in labor, the nurse is aware that the relationship
of the fetal body parts to one
another is called fetal:
a. Lie. c. Attitude.
b. Presentation. d. Position. - ✔✔ANS: C
Attitude is the relation of the fetal body parts to one another. Lie is the
relation of the long axis (spine) of the
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,fetus to the long axis (spine) of the mother. Presentation refers to the part
of the fetus that enters the pelvic
inlet first and leads through the birth canal during labor at term. Position is
the relation of the presenting part to
the four quadrants of the mothers pelvis.
When assessing the fetus using Leopold maneuvers, the nurse feels a
round, firm, movable fetal part in the
fundal portion of the uterus and a long, smooth surface in the mothers right
side close to midline. What is the
likely position of the fetus?
a. ROA c. RSA
b. LSP d. LOA - ✔✔ANS: C
The fetus is positioned anteriorly in the right side of the maternal pelvis with
the sacrum as the presenting part. RSA is the correct three-letter
abbreviation to indicate this fetal position. The first letter indicates the
presenting part in either the right or left side of the maternal pelvis. The
second letter indicates the anatomic
presenting part of the fetus. The third letter stands for the location of the
presenting part in relation to the
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, anterior, posterior, or transverse portion of the maternal pelvis. Palpation of
a round, firm fetal part in the
fundal portion of the uterus would be the fetal head, indicating that the fetus
is in a breech position with the
sacrum as the presenting part in the maternal pelvis. Palpation of the fetal
spine along the mothers right side
denotes the location of the presenting part in the mothers pelvis. The ability
to palpate the fetal spine indicates
that the fetus is anteriorly positioned in the maternal pelvis
The nurse has received report regarding her patient in labor. The womans
last vaginal examination was
recorded as 3 cm, 30%, and ?2-2. The nurses interpretation of this
assessment is that:
a. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2
cm above the ischial
spines.
b. The cervix is 3 cm dilated, it is effaced 30%, and the presenting part is 2
cm above the ischial
spines.
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