Saint Mary’s University

SCHOOL OF HEALTH and NATURALSCIENCES

Nursing Department
Bayombong, Nueva Vizcaya

Name: ______________________________________________________ Section: _____________ Group:________

PERFORMANCE EVALUATION TOOL ON LEOPOLD’S MANEUVER, FUNDIC HEIGHT AND FETAL
HEART TONE MONITORING
DIRECTIONS: Below is a list of criteria to evaluate the student’s skill in Leopold Maneuver, Fundic height
measurement and fetal heart tone monitoring. Indicate your evaluation by placing the number of score on the
appropriate column using the following descriptive scale.
0- Not Done 1- Done Incorrectly 2- Done Correctly
PROCEDURE O 1 2 REMARKS
Assessment
1. Assess the physical condition of the mother and baby.
2. Determine the nursing needs of mother and baby.
Planning
3. Wash hands.
4. Prepare the client for the procedure.
5. Prepare materials needed: tape measure and stethoscope
Implementation
6. Introduce yourself
7. Identify the client.
8. Explain the procedure.
9. Instruct the client to void or empty her bladder.
10. Assist the client to lie down and position in dorsal recumbent.
11. Expose the abdomen from the level of xyphoid process down to
symphysis pubis.
12. Warm two hands by rubbing one against the other before placing them
on the abdomen.
13. Perform the four steps in Leopold”s Maneuver by palpating the abdomen.
During the first three maneuvers, the examiner stands at the side of the
(client) bed and faces the client.

First Maneuver ( Fundal Grip)

14. With both hands, palpate upper abdomen and fundus for: the shape, size,
mobility, and consistence of what he or she feels.
15. breech gives the sensation of a large, nodular mass, and its surface is
uneven, non-ballotable, and not very mobile whereas
16. head feels hard and round with smooth surface of uniform consistency, is
very mobile and ballotable.

Second Maneuver (Umbilical grip)

17. With both hands moving down; palpate the sides of the uterus from the
top to bottom.
One side – smooth, hard, resistant surface (back)
Other side – angular modulation (knees and elbows)

Third Maneuver( Pawlik Grip)

18. Grasp the lower portion of the abdomen with thumb and fingers.
19. With the right hand over the symphysis, identify the presenting part by
grasping the lower abdomen with thumb and fingers.
20. Assess whether the presenting part is engaged in the pelvis (if head is
engaged, it will not move. If it is soft, it is the back).
21. Press downward about 2 inches above the inguinal ligament with both
hands.
22. Reposition the client.

Fourth Maneuver(Pelvic Grip)

23. Position by turning toward the patient’s feet, with both hands assess the
descent of the presenting part by locating the cephalic prominence of
brow.
24. Place your finger on both sides of uterus, about 2 inches above the
inguinal ligament.
25. Press downwards and inward.
 Saint Mary’s University
SCHOOL OF HEALTH and NATURALSCIENCES
Nursing Department
Bayombong, Nueva Vizcaya

26. If the fetal back is palpated, it meets no obstruction.

27. The other hand will meet obstruction, if the fetal brow is palpated.
FUNDIC HEIGHT MEASUREMENT
28. Locate the symphysis pubis and fundus by abdominal palpation.
29. Properly situate the tape measure from the symphysis pubis to the
uterine fundus keeping the tape measure between middle and index
finger.
30. Take the measurement in centimeters.
FETAL HEART TONE MONITORING
31. Properly situates the stethoscope/fetoscope over the area of the back.
32. Differentiates correctly fetal heart tones from other fetal or maternal
abdominal sounds.
33. Count the fetal heart rate
34. Identify any deviation from normal and the quality (rate and rhythm) of
the fetal heart tone.
Documentation
35. Record any abnormal observation and findings on the mother and baby.
TOTAL
AVERAGE

Remarks:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
______________________________________
__________________________________ _____________________________
Clinical Instructor Name and Signature Student’s Signature
 Saint Mary’s University
SCHOOL OF HEALTH and NATURALSCIENCES
Nursing Department
Bayombong, Nueva Vizcaya