Republic of the Philippines

PAMANTASAN NG LUNGSOD NG MAYNILA

(University of the City of Manila)
Intramuros, Manila


College of Nursing
Name of Student: _____________________________________ Score:
____________

Year/Section/Group/Number: _____________________________

Rate the student’s performance by using the following criteria:

4 Performed correctly and systematically according to standard with correct rationale.

3 Performed correctly, though not systematically but with correct rationale.
2 Performed correctly, not systematically, with inadequate/incorrect rationale.
1 Performed incorrectly/not done

LEOPOLD’S MANEUVERS

PURPOSE:
Is systematic abdominal palpation to determine position, and presentation, locate
fetal parts and estimate the fetal size.

Materials Needed:
 Blanket or drape
 Pillow/rolled towel

PROCEDURES RATINGS REMARKS

4 3 2 1
ASSESSMENT
1. Verify the physician’s order
2. Explain the procedure to the client
PLANNING
1. Instruct the client to empty her bladder
2. Position the woman supine with knees slightly
flexed. Place a small pillow or rolled towel under
one side.
3. Drape properly to maintain privacy
4. Wash your hands using warm water
IMPLEMENTATION
1. Observe the woman’s abdomen for the
 longest diameter and where fetal movement
is apparent
2. Perform the first maneuver or FUNDAL
GRIP
a. Stand at the foot of the client, facing her,
and place both hands flat on her
abdomen.
b. Palpate the superior surface of the
fundus. Determine consistency, shape,
and mobility.
3. Perform the second maneuver or
UMBILICAL GRIP
a. Face the client and place the palms of each
hand on either side of the abdomen.
b. Palpate the sides of the uterus. Hold the
left-hand stationary on the left side of the
uterus while the right hand palpates the
opposite side of the uterus from top to
bottom. Then hold the right hand steady,
and repeat palpation using the left hand
on the left side.
4. Perform the third maneuver or PAWLIK’S
GRIP
a. Gently grasp the lower portion of the
abdomen just above the symphysis pubis
between the thumb and index finger and
try to press the thumb and finger together.
Determine any movement and whether
the part is firm or soft.
5. Perform the fourth maneuver or PELVIC
GRIP
a. Facing the foot part of the client. Place
fingers on both sides of the uterus
approximately 2 inches above the inguinal
ligaments, pressing downward and
inward in the direction of the birth canal.
Allow fingers to be carried downward

EVALUATION
1. Evaluate the patient’s response to the
procedure
DOCUMENTATION
1. Document observations and interventions
done
 ____________________________ _______________________________ __________________
Student’s Signature Clinical Instructor’s Date
Printed Name & Signature

PREPARED BY:

JENNIFER T. MANSING, RN, MAN

LEIZEL B. PANDI, RM, RN, MAN