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1. Upper portion. Palpation of fundus.

Determine the position of head


 Head sensation (Round, Hard, and bony surface)
 Butt Sensation (Soft irregular shape))
2. Sides of maternal abdomen. Assess which side is spine and extremeties. Long continuous fetal
back. Soft extremeties
 Left Hand (extremeties. Soft irregular nodules- siko, tuhod)
 Right Hand (Fetal back, spiine, long continuous flat surface)
3. Lower pole, Fetal part, symphysis pubis. Position at woman’s feet. Assess fetal descent.
 Head sensation (head- round, hard)
 Butt Sensation (soft and irreg in shape)
 Paolor scrp maneuver

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