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RLE Activity 3: Develop the nursing skills in demonstrating accurate Leopold’s Maneuver
Instructions:
1. All questions apply to this activity pertains to the concepts and theories discussed. Your responses
should be detailed and direct to the point. When asked to provide several answers, list them in order
of priority or significance.
2. Please submit on or before _______, 2020 thru MS Teams and or to the designated place in your
barangay, and to be collected by PNC personnel.

You’re doing fine! Carry on.

You are now duty in the OB – Out-Patient Department of LPH-SPCDH. In this 24-hour duty, you are
expected to perform and Leopold’s Maneuver to pregnant woman. Use the checklist for below for your
return demonstration via video presentation and send via LMS. Be sure you are wearing your clinical
uniform and use the suggested supply and equipment. Your focus on the following:
▪ Therapeutic Communication Technique
▪ History Taking
▪ Aseptic technique
▪ Providing Privacy/Confidentiality
▪ Computations of EDD and AOG
▪ Health teaching
▪ Documentation of Data

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 PAMANTASAN NG CABUYAO
Cabuyao City

COLLEGE OF NURSING

Nursing Care Management – 107 RLE Checklist Evaluation

LEOPOLD’S MANEUVER

Name: De Guzman, Cameron Josh B Yr/Section/Grp: 2BSN-A Rate: _________

Objective:
• Demonstrate the ability in observing and palpating the abdomen systematically to determine fetal
presentation and position, lie and attitude; estimate fetal size and locate fetal parts.

Rating Scale:
5 = The student demonstrates the procedure with thorough in independent manner
4 = Demonstrates the procedure with minimal guidance and supervision
3 = Demonstrates with thorough understanding of the skills/performances
2 = Demonstrates some understanding of the skills/performances
1 = Demonstrates limited understanding of the skills/performances

Leopold’s Maneuver
Performance
Preparation Remarks
5 4 3 2 1
1. Assess:
• The previous clinic visits.
• Retrieve the record if old patient.
• The Last menstrual period (LMP) and AOG.
2. Assemble equipment and supplies:
• Draping sheet

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 Procedure
1. Explain to the client what you are going to do, why it is
necessary, and how she can cooperate.
2. Wash hands and observe other appropriate infection
control procedures.
3. Ask the client to empty her bladder.
4. Prepare the client.
Assist the client in supine position (knee slightly flexed).
Place small pillow under the head and small pillow or rolled
towel under the knee
5. Ask the client to bare her abdomen from the lower rib
margin to the pubic bone.
6. Drape appropriately.
7. Warm your hands first by rubbing them together before
placing over the pregnant woman’s abdomen.
8. Observe the woman’s abdomen for longest diameter
and where fetal movement is apparent.
Palpation
9. Performance Phase

First Maneuver (Fundal Grip)

Face the head part of the client.

10. While facing the woman, place the hands on the top of
the uterus (fundus) and palpate.
11. Palpate the superior surface of the fundus. Determine
consistency, shape and mobility.
12. Second Maneuver (Umbilical Grip)

Still facing the woman, put both hands on either side of

the abdomen, applying gentle but deep pressure.
13. Place hand stabilizes the one side of the uterus, the
other hand palpates the opposite side to identify the
location of the back and small parts. Palpation begins
in the midline and continues down the side of the
uterus. The other side of the uterus is stabilized and
palpated. Palpate, applying gentle but deep pressure.
14. Repeat the same procedure on the opposite side.
15. Third Maneuver (Pawlik’s Grip)

While facing the woman, grasp the lower uterine

segment between the thumb and fingers of one hand
just above the symphysis pubis.

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 16. Press in slightly, using thumb and finger and make
gentle movements from side to side. Pay close
attention to the size, contour and consistency of the
presenting part.
17. Determine any movement and whether the part is soft
or firm.
18. Identify correctly the presenting part.
19. Fourth Maneuver (Pelvic Grip)

Face the client’s foot part, place palm on the sides of

the abdomen, just above the inguinal ligament.
20. Grasp snugly the lower abdomen and with the
outstretched thumb, meeting at the umbilical level.
Place the fingers on both sides of uterus approximately
2 inches above the inguinal ligaments, pressing
downward and inward in the direction of the birth
canal.
21. Identify correctly the degree of flexion, position and
station of the presenting part.
22. Make no unnecessary exposure of client’s body and
return to position.
23. Explain the findings to the woman.
24. Wash hands.
25. Document the results.

To compute for the Total Score: Add each item’s rating. Total Score
To compute for the Average: Divide the total SCORE by total Ave. --------/135
number of items, multiply by 100

Comments:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

De Guzman, Cameron Josh B __________________________

Student’s Signature Over Printed Name CI’s Signature Over Printed Name