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    Abdominal Assessment

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    shams
    Abdominal assessment provides information about uterine growth and gestation. The location of the uterus changes throughout pregnancy, reaching the umbilicus at 20 weeks and xiphoid process at 36 weeks. Leopold's maneuvers allow assessment of fetal position and presentation through palpation of the fundus and sides of the uterus. McDonald's rule estimates gestational age based on fundal height. Auscultating the fetal heart rate evaluates fetal condition and tolerance of labor.

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    Abdominal Assessment

    Uploaded by

    shams
    440 views10 pages
    Abdominal assessment provides information about uterine growth and gestation. The location of the uterus changes throughout pregnancy, reaching the umbilicus at 20 weeks and xiphoid process at 36 weeks. Leopold's maneuvers allow assessment of fetal position and presentation through palpation of the fundus and sides of the uterus. McDonald's rule estimates gestational age based on fundal height. Auscultating the fetal heart rate evaluates fetal condition and tolerance of labor.

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    Abdominal assessment provides information about uterine growth and gestation. The location of the uterus changes throughout pregnancy, reaching the umbilicus at 20 weeks and xiphoid process at 36 weeks. Leopold's maneuvers allow assessment of fetal position and presentation through palpation of the fundus and sides of the uterus. McDonald's rule estimates gestational age based on fundal height. Auscultating the fetal heart rate evaluates fetal condition and tolerance of labor.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    440 views10 pages

    Abdominal Assessment

    Uploaded by

    shams
    Abdominal assessment provides information about uterine growth and gestation. The location of the uterus changes throughout pregnancy, reaching the umbilicus at 20 weeks and xiphoid process at 36 weeks. Leopold's maneuvers allow assessment of fetal position and presentation through palpation of the fundus and sides of the uterus. McDonald's rule estimates gestational age based on fundal height. Auscultating the fetal heart rate evaluates fetal condition and tolerance of labor.

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    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 10

    ABDOMINAL ASSESSMENT

    • Abdomen assmt provide information about


    uterine growth and confirm EDD/EDB
    • 12 weeks – uterus above symphysis pubis,
    • 16 week – between symphysis pubis and
    umbilicus
    • 20 weeks – at umbilicus
    • 36 weeks – at xiphoid process
    • 40 weeks – fetal head x pelvic cavity called
    lightening.Therefore uterus sinks
    Mac Donald Method
    1. Women Lies on her back (trunk elevated)
    with knee flexed
    2. Top of fundus palpated and tape
    stretched from top of symphysis pubis
    over abdominal curve to the top of
    fundus.
    From 22 weeks to term fundal height
    roughly equals + or – 2 cm to the
    gestational age of foetus in weeks.
    Second & Third trimester
    • McDonald’s rule :

    Height of fundus (in Cm) x 8/7 =Duration


    of pregnancy in weeks

    Eg: If fundal height = 22cm X 8/7 =


    25weeks
    Leopold’s Maneuvar
    Stand beside the women, facing her head with dominant
    hand near her
    First Maneuver

    A) Palpate uterine Distinguish between


    fundus Ceaphalic and breech
    (buttocks) presentation
    – breach is softer and
    irregular in shape than
    head.
    The head is harder,
    round and uniform
    shape.
    Second Maneuver
    B) Hold left hand steady To determine which
    on one side of the side is the fetal back
    uterus while palpating
    the opposite side of the on and which side the
    uterus with the right arms and legs (small
    hand. parts) are on.
    B) Hold the right hand Fetal back is smooth,
    steady while palpating convex surface. Fetal
    opposite side of uterus arms and legs feel
    with left hand.
    nodular.
    Third Maneuver To confirm the presentation
    B) Palpate the felt in the first maneuver
    suprapubic area
    and to determine if
    presenting part is engaged.
    B) Grasp the presenting
    part gently between If a breach was palpated in
    thumb and finger the fundus, expect a hard
    round head in this area.
    If the presenting part is not
    engaged, grasping with the
    finger moves it upwards in
    the uterus.
    Fourth Maneuver
    Done only if the fetus is
    In ceaphalic presentation

    A)Turn so as to face the To determine whether


    womans feet, place head is flexed (vertex)
    hands on each side of or
    the uterus with extended (face)
    fingers pointed towards
    pelvic inlet
    B) Slide hands downward If head is flexed,
    on each side of the ceaphalic prominence
    uterus, on one side the (forehead) is felt on
    opposite side from fetal
    fingers should slide to
    back, if head is
    upper edge of symphysis, extended, the ceaphalic
    On other side, your fingers prominence (occiput) is
    meet an obstruction, the felt on the same side as
    cephalic prominence the fetal back.
    Auscultating fetal heart rate
    • Purpose – To evaluate fetal condition and
    tolerance of labour
    1.Explain
    2.Wash hands (using warm water)
    3.Use leopold’s maneuver – Identify back ---
    it is close to maternal abdomen, were fetal
    heart sound is clear
    Equipments to assess FHR
    • Fetoscope
    • Doppler transducer (place H2o soluble gel
    over transducer to make interface for clear
    signal transmission. Place transducer over
    fetal back and move it till you hear FHS

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