North American Registry of Midwives (NARM) Practice Exam

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What is identified in the second Leopold's maneuver?

The fetal movements
The location of the back
The head's descent
The position of the feet

The correct answer is: The location of the back

The second Leopold's maneuver is primarily focused on determining the position of the fetus's back during pregnancy. This maneuver is performed by placing both hands on the mother's abdomen and palpating to locate the fetal back, which is usually a smooth, harder area that can be distinguished from the limbs. Identifying the position of the back is crucial for assessing fetal orientation, which is essential for planning the appropriate care during labor and delivery. Understanding the position of the fetus helps midwives and healthcare professionals to anticipate the presentation of the baby (i.e., whether the baby is head down, breech, etc.) and to make informed decisions regarding the birth process. In contrast, identifying fetal movements, the head's descent, or the position of the feet involves different techniques and assessments that are not the primary focus of this specific maneuver.