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Prepared and Compiled by:

LGA Oanes, RN; C.E. Opalia RN; A. Macabada, RN

Mindanao State University

Name of Student: Score: _________________

Clinical Instructor: Date: _________________LEOPOLDS MANEUVER

Purpose: _____________________________________________________________________________

_____________________________________________________________________________

Equipments: __________________________________________________________________________

PROCEDURE RATIONALE 3 2 1 0

PREPARATION:1.) Get the obstetrical history of thepatient.

2.) Explain the procedure to the

patient.

3.) Instruct the client to empty her

bladder.

4.) Perform hand washing.

5.) Position the woman supine with

knees slightly flexed. Place a smallpillow or rolled towel under one side.

6.) Screen and cover the client with

bedsheet.

7.) Assist the client to expose the

abdomen. Rub both hands together or

submerge in warm water beforetouching the patient.

ASSESSMENT:8.) Observe the womans abdomen forlongest diameter and where fetal

movement is apparent. Check thefundal height.

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Prepared and Compiled by:

LGA Oanes, RN; C.E. Opalia RN; A. Macabada, RN

9.) Perform the first maneuver:

(Fundal Grip)

a. Stand on 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.

10.) Perform the second maneuver:(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 righthand 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.

11.) Perform the third maneuver:

(Pawlicks Grip)

a. Gently grasp the lower portion

of the abdomen just above the

symphysis pubis between the thumb

and index finger together. Determine

any movement and whether the part is

firm or soft.

12.) Perform the fourth maneuver:(Pelvic Grip)

a. Place the fingers on both sides

of the uterus approximately 2 inches

above the inguinal ligaments, pressingdownward and inward in the direction

of the birth canal. Allow fingers to be

carried downward.

13.) Cover the exposed abdomen and

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Prepared and Compiled by:

LGA Oanes, RN; C.E. Opalia RN; A. Macabada, RN

assist patient in a comfortable

position.

DOCUMENTATION:14.) Compute for the AOG (Age of

Gestation) using the McDonalds rule.

15.) Correctly compute the EDC

(Expected date of confinement) using

the Naegeles rule.

16.) Assess for the fetal heart rate and

its location.

17.) Document the procedure done.

18.) Perform after care.