84) ANSWER

1. Left occipital anterior (LOA).

RATIONALE

1. The nurse’s findings upon performing

Leopold’s maneuvers indicate that the

fetus is in the left occiput anterior position

(LOA)—that is, the fetal back is felt

on the mother’s left side, the small parts

are felt on her right side, the buttocks

are felt in the fundal region, and the

head is felt above her symphysis.

2. The findings after the nurse performs

Leopold’s maneuvers do not indicate that

the fetus is in the left sacral posterior (LSP)

position; in that position, the fetus’s buttocks

(S or sacrum) are facing toward the mother’s

left posterior (LP), a hard round mass is felt

in the fundal region, and a soft round mass is

felt above the symphysis.

3. The findings after the nurse performs

Leopold’s maneuvers do not indicate that

the fetus is in the right mentum anterior

(RMA) position; in that position, the fetus’s

face (M or mentum) is facing toward themother’s right anterior (RA) and small

objects are felt on the right of the mother’s

abdomen with a flat area felt on the mother’s

left side.

4. The findings after the nurse performs

Leopold’s maneuvers do not indicate that

the fetus is in the right sacral posterior

(RSP) position; in that position, the fetus’s

sacrum (S) is facing the mother’s right posterior

(RP) and a hard round mass is felt in

the fundal region while a soft round mass is

felt above the symphysis.