NCLEX Question for Using Leopold’s maneuvers

Using Leopold’s maneuvers to determine fetal position, the nurse finds that Mrs. L’s fetus is in a vertex position with the back on the left side.  Where is the best place for the nurse to listen for fetal heart tones?
 

a.    In the right upper quadrant of the mother’s abdomen.

b.    In the left upper quadrant of the mother’s abdomen.

c.    In the right lower quadrant of the mother’s abdomen.

d.    In the left lower quadrant of the mother’s abdomen.


Correct Answer D:. The left lower quadrant is the correct location since the back is on the left and the vertex is in the pelvis.
 

The right upper quadrant would be the place to auscultate if the back were on the right and the breech were in the pelvis.
 

The left upper quadrant would be the place to auscultate if the back were on the left and the breech were in the pelvis.
 

The right lower quadrant would be the place to auscultate if the back were on the right side.

Posted in: MCN NCLEX