Health Promotion And MaintenanceAn 18-year-old woman comes to the physicians office for a routine prenatal checkup at 34 weeks gestation. Abdominal palpation reveals the fetal position as right occipital anterior (ROA). At which of the following sites would the nurse expect to find the fetal heart tone?
A. Below the umbilicus, on the mother’s left side. B. Below the umbilicus, on the mother’s right side. C. Above the umbilicus, on the mother’s left side D. Above the umbilicus, on the mother’s right side.
Below the umbilicus, on the mother’s right side. -question: the fetus is roa. where should the nurse listen for the fht? strategy: 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. needed info: describing fetal position: practice of defining position of baby relative to mothers pelvis. the point of maximum intensity (pmi) of the fetus: point on the mothers abdomen where the fht is the loudest, usually over the fetal back. divide the mothers pelvis into 4 parts or quadrants: right and left anterior, which is the front, and right and left posterior, which is the back. abbreviated: r and l for right and left, and a and p for anterior and posterior. the head, particularly the occiput, is the most common presenting part, and is abbreviated o. loa is most common fetal position and fht heard on left side. in a vertex presentation, fht is heard below the umbilicus. in a breech presentation, fht is heard above the umbilicus. (a) below the umbilicus, on the mothers left side found on right not left side (b) below the umbilicus, on the mothers right side correct: occiput and back are pressing against right side of mothers abdomen; fht would be heard below umbilicus on right side (c) above the umbilicus, on the mothers left side found in breech presentation (d) above the umbilicus, on the mothers right side found in breech presentation