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Practice Question

A nurse is admitting a client who presented to a labor and delivery unit reporting labor contractions. When conducting the initial assessment, which of the following findings indicates to the nurse that the fetus is likely in a breech presentation?

Answer Choices:

Correct Answer:

The nurse palpates a soft mass above the symphysis pubis during Leopold's maneuvers.

Rationale:

🔶 A soft, irregular mass felt in the lower abdomen suggests buttocks are presenting—consistent with breech presentation.

🔶 In contrast, the fetal head feels firm, round, and ballotable when cephalic.

🔶 Breech presentations increase risk of cord prolapse and birth trauma, requiring close monitoring.

🔶 Leopold’s maneuvers help determine if external cephalic version or cesarean might be necessary.

🔶 Early identification allows the nurse to plan safe fetal monitoring sites (usually above the umbilicus in breech cases).

Want to practice more questions like this?

This question is from Custom: Brathwaite Maternal/Newborn Final Nur 223 Sec 2 which contains 74 questions.

More Questions from This Exam
A 4 week postpartum client has worsening sadness, insomnia, and inability to are for baby for 3 weeks. this suggests

Answer Choices:

A. Normal sleep deprivation only
B. Normal adjustment
C. A post partum depression (requires professional treatment)
D. Postpartum blues
A nurse is performing Leopold Maneuvers prior to auscultating the fetal heart rate for a client who is at 30 weeks of gestation. The client asks, "Why do you feel around on my belly first? Which of the following responses should the nurse make?

Answer Choices:

A. "It helps me estimate how much your baby currently weighs."
B. "It helps me identify your baby's position in the uterus."
C. "It helps me measure how high the top of your uterus is."
D. "it helps me determine if you are having contractions."
The average length of pregnancy is:

Answer Choices:

A. 42 weeks
B. 36 weeks
C. 37 weeks
D. 40 weeks
Best indicator of fetal well-being

Answer Choices:

A. Maternal weight gain
B. Fetal Heart rate pattern
C. fundal height
D. Fetal Movement
The most serious complication of preeclampsia is?

Answer Choices:

A. Edema
B. Proteinuria
C. Eclampsia (seizures)
D. Hypertension
From Exam
Custom: Brathwaite Maternal/Newborn Final Nur 223 Sec 2

74 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Maternal & Newborn Care
  • Answer Choices: 4
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