Question

Using Leopold's maneuvers to assess fetal position, the nurse finds a soft rounded prominence at the level of the fundus, a hard round prominence just above the symphysis pubis, and nodulations on the left side of the uterus. The fetal position is:

a. right occiput anterior (ROA), vertex.
b. left occiput anterior (LOA), vertex.
c. right occiput transverse (ROT), breech.
d. left occiput anterior (LOA) breech.

Answer 1

The fetal position is left occiput anterior (LOA), vertex.

Step-by-step explanation:

Based on the findings of Leopold's maneuvers, the fetal position in this case is left occiput anterior (LOA), vertex. Leopold's maneuvers are a series of abdominal palpation techniques used to determine the position of the fetus in the uterus. The soft rounded prominence at the level of the fundus indicates the fetal head, the hard round prominence just above the symphysis pubis indicates the fetal buttocks, and the nodulations on the left side of the uterus suggest the presence of the fetal back. All of these findings correspond to the left occiput anterior position, where the back of the baby's head is facing forward and slightly towards the left side of the mother's abdomen.