Physical assessment of a client in active labor reveals that the cervix is dilated 3 to 4 cm and 50% effaced, the fetus is in the right sacrum anterior (rsa) position, and contractions are 5 minutes apart. where should the nurse place the stethoscope to best locate the fetal heart tones?

When the fetus's back is on the right side of the mother and the fetal sacrum is in the lower portion of the fundus, the fetus is in the right sacrum anterior position and the fetal heart can be heard in the right upper quadrant. Location b is appropriate when the fetus is in the right occipital posterior position. Location C is appropriate when the fetus is in the left sacrum anterior position. Location D is appropriate when the fetus is in the left occipital anterior position.

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