ST.

SCHOLASTICA’S COLLEGE TACLOBAN

Maharlika Highway, Brgy. Campetic, Palo, Leyte
COLLEGE OF NURSING

Name of student: ______________________________ Year/Section: _____________

Date: __________ Score/Grade: _____________

LEOPOLD’S MANEUVERS AND FHT MONITORING PERFORMANCE CHECKLIST

PERFORMANCE POINTS CORRECTLY INCORRECTLY NOT CI’s

DONE (2) DONE (1) DONE REMARKS
(0)
A. KNOWLEDGE
1. Define Leopold’s Maneuvers and taking
FHT.
2. State the purpose(s).
3. Enumerate special considerations.
4. State the rationale behind specific action.
B. SKILLS/ABILITY
1. Wash hands.
2. Prepare the client for the procedure.
3. Identify the client and explain the
procedure.
4. Instruct the client to empty the bladder.
5. Position the client in dorsal recumbent.
6. Drape client to provide privacy.
7. Expose the abdomen from the level of
the xiphoid process down to the
symphysis pubis.
8. Warm two hands by rubbing against
each other before placing them on the
abdomen,
9. Perform the four maneuvers. During the
3 maneuvers, the examiner stands at the
side of the client and faces the client.
FIRST MANEUVER
A. With both hands, palpate upper
abdomen and fundus for:
1. Consistency-head is round,
hard, breech is well-defined.
2. Mobility- head moves
independently, breech less
mobile.

SECOND MANEUVER
 A. With both hands moving down,
palpate the sides of the uterus from
the top to the bottom.
1. One side- smooth, hard, resistant
surface (back)
2. Other side- angular modulation
(knees and elbows)
THIRD MANEUVER
A. With the right hand over the symphysis
pubis, identify the presenting part by
grasping the lower abdomen with thumb
and fingers. 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.
FOURTH MANEUVER
The nurse alters 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.
A. Place your fingers on both sides of the
uterus, about two inches above the
inguinal ligament. Press downwards and
inward.
B. If the fetal back is palpated, it meets no
obstruction.
C. The other hand will meet obstruction, the
fetal brow is palpated.
10. If the uterus is not contracting, place the
bell of the stethoscope over the quadrant
of the mother’s abdomen where the fetal
back is located.
11. Listen for and count the fetal heart tone
in one full minute. Take note of the rate,
regularity, strengths and any deviation of
the fetal heart tone.
12. Record/chart any abnormal observation
and findings on the mother and baby.
Chart the characteristics of the fetal heart
tone along the position on the abdomen
where fetal heart tone was obtained.
D. ATTITUDE
1. Demonstrate preparedness, readiness
and confidence in the performance
of the procedure.

2. Answers questions politely and

tactfully.
3. Observe proper decorum and behave
as a mature student nurse.
 4. Accepts corrections / suggestions
and shows willingness to improve
performance.

Evaluated by: Conforme:

___________________________ _______________________________
Clinical Instructor Name and Signature of Student