Practice Quiz

CNM Certified Nurse Midwife

Category - Intrapartum

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A nurse midwife performs combined abdominal inspection and palpation on a client who is in labor and determines that the fetal position is ROA. Which of the following statements about the ROA fetal position is false?
  1. The fetal landmark is pointing the client’s right.
  2. The occiput is the fetal landmark.
  3. The fetus is in a transverse lie.
  4. The back of the fetal head is pointing toward the client’s anterior side.
Explanation
Answer: C - The fetal presentation of ROA indicates that the fetus is in vertex position. The fetal landmark is the occiput of the fetus. A fetus in a transverse lie would have the scapula or acromion process as the fetal landmark. The other options accurately describe the ROA presentation.
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