North American Registry of Midwives (NARM) Practice Exam

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What information is determined in the fourth Leopold's maneuver?

  1. The position of the fetus

  2. Where is the cephalic prominence?

  3. The presence of fetal heart sounds

  4. The engagement of the cervix

The correct answer is: Where is the cephalic prominence?

The fourth Leopold's maneuver specifically assesses the location of the fetus's cephalic prominence, which is crucial for determining the fetal position and its presentation during labor. This maneuver involves placing the hands on the lower abdomen and applying pressure to feel for the fetal head. The cephalic prominence indicates which part of the fetal head is presenting and in what position the fetus is facing. This information is vital for midwives and healthcare providers as it guides the management of labor and delivery, helping to anticipate any potential challenges based on the fetal orientation.