Card Set Information
pn 135 prenatal leopold maneuver
must be 24 weeks gestation.
Instruct woman to empty her bladder first
Place woman in dorsal recumbent position, supine with knees flexed to relax abdominal muscles
Place a small pillow under the head for comfort.
Drape properly to maintain privacy.
Explain procedure to the patient.
Warms hands by rubbing together. (Cold hands can stimulate uterine contractions).
Use the palm for palpation not the fingers.
fundal grip - purpose?
determine presentation, what part of the fetus is in the fundus
feel for the part of the fetus that is in the fundus
head: firm, round, moves independently from the trunk
: less defined, moves with the trunk
umbilical grip:pu rpose?
determine position, where is the fetal back
one hand on each side
feel for the back and small fetal parts
move in circular motions from top to bottom
: smooth, hard, resistant surface
fetal knees and elbows: several angles
to determine the presenting part
use thumb and forefinger
grasp above the symphisis pubis
press slightly, move from side to side
: not engaged
not moveable: engaged
determine the attitude of the fetus
face foot of bed
use both hands
palpate head, pressing down
chin towards chest or looking up