Practice Quiz

CRNE Canadian Registered Nurse

Category - Wellness

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A woman at 32 weeks gestation comes to the clinic for a routine checkup. Palpation reveals that the fetal position is left occipital anterior. The nurse would auscultate for the fetal heart tone at which of the following sites?
  1. On the mother’s left side, below the umbilicus
  2. On the mother’s left side, above the umbilicus
  3. On the mother’s right side, above the umbilicus
  4. On the mother’s right side, below the umbilicus
Explanation
Answer: A - A fetal position of LOA guides the nurse to listen for the fetal heart tone on the mother’s left side below the umbilicus. LOA means that the child’s back is at the left side of the mother. In a vertex position, the FHT is heard below the umbilicus. The fetal heart tone is best heard over the fetal back.
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