Health Promotion and Maintenance
23. A client who is 32 weeks' gestation presents to a physician's office for a routine prenatal checkup. Leopold's maneuver reveals the fetal position as right occipitoanterior (ROA). At which site would an RN expect to find the fetal heart tone?
. Below the umbilicus, on the client's left side.
. Below the umbilicus, on the client's right side.
. Above the umbilicus, on the client's left side.
. Above the umbilicus, on the client's right side.
Test-Taking Tip
Picture the situation described. It may be helpful for you to draw this out so that you can imagine where the heartbeat would be found.
Content Area: Maternity, Antepartum; Integrated Process: Nursing Process, Analysis; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Ante/Intra/Postpartum and Newborn Care
Health Promotion and Maintenance
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Answer 1 is incorrect because the fetal heart tones would be heard below the umbilicus on the right side, not on the left side, which would then be LOA position. Answer 2 is correct because the fetal head and back are pressing against the right side of the client's abdomen; the fetal heart tones would be heard below the umbilicus on the right side. Answer 3 is incorrect because the fetal heart tones would be heard above the umbilicus in breech presentation. Answer 4 is incorrect because the fetal heart tones would be heard above the umbilicus in breech presentation.