Leopold's Manuever Checklist

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NAME OF STUDENT: ____________________________________________

LEVEL & BLOCK: SCHOOL YEAR & TERM:

_____________________________ ___________________________ OVERALL RATING

MODULE 4. ESTIMATING FETAL LENGTH AND LEOPOLD’S MANEUVER

PERFORMANCE EVALUATION CHECKLIST 4

PROCEDURE PERFORMED PERFORMED UNABLE


INDEPENDENTLY WITH TO
ASSISTANCE PERFOR REMARKS
M
4-5 2-3 0-1

ASSESSMENT
1. Greet the patient, introduce yourself and
explain the procedure.

2. Wash hands.

3. Take the vital signs.


PLANNING
4. Place the client in supine position with
knees slightly flexed.
IMPLEMENTATION
5. Palpate the client’s abdomen with warm
hands.

6. Measure the Fetal Length by measuring


from symphysis pubis up to the fundus.

7. First Maneuver: Fundal Grip


Stand beside the patient and lay two hands above
the abdomen just below the xyphoid process.
Gently move the hands downward and palpate
the fundus with the tips of the fingertips of both
hands to define fetal parts present. If a hard round
mass is palpated, it is the head. If it is soft,
irregular and not movable, then it is the buttocks.

8. Second Maneuver: Umbilical Grip


Transfer one hand on the left side of the abdomen
and the other hand on the right side of the
abdomen. The right hand will apply gently
pressure on the abdomen so that the uterus is
more superficial to the other hand and the left
hand will move in circular motion, palpating for the
mass present.
If numerous nodular masses are palpated, they
are fetal extremities.
If one palpates a hard resistant plane, it is the
fetal back.

Do the same procedure on the other side of the


abdomen to confirm the findings.

9. Third Maneuver: Pawlik’s/Paulik’s Grip


Spread the thumb and the forefingers of one hand
and place them just above the symphysis pubis
and bring the fingers together.

10. Fourth Maneuver: Pelvic Grip


Face the patient’s feet and place both hands on
the two sides of the lower abdomen above the
inguinal ligaments to determine the fetal attitude
or degree sliding your hands towards the
symphysis pubis.
If the head is present, one hand descent will be
stopped by the cephalic prominence. The other
hand descends more deeply and unobstructed. If
the fetus is engaged, you cannot feel the cephalic
prominence.

11. Assist the client to a comfortable position.

12. Wash hands.


DOCUMENTATION
13. Document pertinent data

REMARKS:
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_______________________ _____________________
CONFORME: STUDENTS SIGNATURE CLINICAL INSTRUCTOR

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