Answer:
The question was not framed well and it was incomplete. The well-framed and complete question is pasted below.
While performing Leopold maneuvers on a client who has been admitted to the birthing room, the nurse identifies a firm, round prominence over the symphysis pubis; a smooth, convex structure along her right side; irregular lumps along her left side; and a soft roundness in the fundus. What is the fetal position?
a. LOP
b. RSA
c. ROA
d. LOA
ANSWER
The position of the fetus is right occiput anterior (ROA).
Explanation:
It should be understood that the prominence over the symphysis suggests a vertex presentation, and the fetal occiput and back are in the right anterior quadrant.
It should be noted also that the occiput and back are on the mother's right side, therefore, the Left occiput posterior (LOP) is ruled out because the occiput is not found at the left posterior quadrant.
Then, the Right sacral anterior (RSA) will also be ruled out due to the fact that the fetus is in a vertex, not a breech.
And lastly, the Left occipital anterior (LOA) is ruled out due to the presence of irregular lumps on the left side. This suggests that the fetus's back is in the mother's right quadrant.
