LEOPOLD’S MANUEVER

 HI! GOOD DAY, THIS IS DARWIN QUIRIMIT YOUR STUDENT
NURSE IN-CHARGED FOR TODAY & I WILL BE
DEMONSTRATING LEOPOLD’S MANEUVER.
 LEOPOLD’S MANEUVER IS THE PALPATION OF THE
PREGNANT MOTHER’S ABDOMEN TO ASSESS FETAL
POSITION, PRESENTATION, ENGAGEMENT, ATTITUDE, AND
THE LOCATION OF FETAL MOVEMENT.
 GREETS AND INTRODUCE YOURSELF THE PATIENT, THEN
EXPLAIN THE PROCEDURE.
“GOOD MORNING MA’AM, I AM NURSE DARWIN, I WILL BE
YOUR NURSE FOR TODAY AND I WILL DO LEOPOLD’S
MANEUVER IN ORDER TO ESTIMATE YOUR BABY’S SIZE & PARTS
AS WELL AS DETERMINE HIS/HER PRESENTATION AND
POSTURE.
“DO HANDWASHING TO PREVENT THE TRANSFER OF VISIBLE
MICROORGANISM.”
1. ASK THE PATIENT TO EMPTY HER BLADDER FIRST. THEN
ASSIST THE PATIENT INTO DORSAL RECUMBENT POSITION AND
DRAPE THE PATIENT PROPERLY FOR PRIVACY.
LEOPOLD’S MANUEVER 3
 MY THUMB AND FOREFINGERS OF MY HAND WILL BE
SPREAD AND PLACED ABOVE SYMPHYSIS PUBIS.
 WILL CHECK BABY'S HEAD TO SEE IF ENGAGED OR NOT. SO
THE BABY HEAD IS STILL ABLE TO AND IT PUSH UPWARDS AS
I PLACE MY FINGERS HERE SO THE BABY'S IS NOT YET
ENGAGED.
 FOR LM3 WILL REPORT AS LM3 CEPHALIC OR LM3 BLEECH
IS THE FETAL IS NOT ENGAGED.
LEOPOLD’S MANUEVER 4
 TO DETERMINE IF THE FETAL PART IS ENGAGED, I WILL
PLACE MY BOTH HANDS AND PALPATE ON THE MOTHER'S
LOWER ABDOMEN ABOVE THE INGUINAL LIGAMENTS.
 AFTER THE PROCEDURE , ASSIST THE PATIENT TO A
COMFORTABLE POSITION. TO PREVENT ORTHOSTALTIC
HYPOTENSION,
 PERFORM HANDWASHING / HAND HYGIENE
 LASTLY, DOCUMENT PERTIMENT DATA TO PROVIDE
ACCURATE DATA IN CARE OF THE PATIENT.

2. WARM YOUR HANDS BY RUBBING THEM TOGETHER BECAUSE

COLD HANDS WILL CAUSE THE MUSCLE TO CONTRACT.

3. USE YOUR PALM FOR PALPATION NOT YOUR FINGERS.

4. MEASURES THE FUNDIC HEIGHT IN CENTIMETERS

CORRECTLY. PLACE ONE END OF MEASURING TAPE OVER
SYNTHESIS PUBIS & CARRY IT OVER THE CURVATURE OF THE
UTERUS UNTIL YOU REACH THE FUNDUS . WHAT EVER YOU GET
IN THE CENTIMETERS WILL BE THE APPROXIMATE FETAL AGE .

LEOPOLD’S MANUEVER 1
 I WILL STAND BESIDE THE PATIENT THEN I WILL PLACE MY
BOTHS HAND TO THE FUNDUS INTO DIAMOND/TRIANGLE
SHAPE
 I’M GONNA PALPATE, IF ITS HARD THAT IS THE BABY’S
HEAD WHEREAS THE BUTTOCK YOU FEEL SOFTHER AND
BULKIER.
 FOR LM1 WILL REPORT AS LM1 CEPHALIC OR LM1 BREECH

LEOPOLD’S MANUEVER 2
 THE BABY'S BACK WILL BE PALPATED FOR THE SECOND
MANEUVER. I'M ALSO GOING TO SEARCH THE ARMS AND
LEGS.
 FOR LM2 WILL REPORT AS LM2 FETAL BACK OR FETAL
LEFT BACK.