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    ' Leopold S Manaeuver

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    jamillium
    This is a presentation which I have presented in my MCN class at the Cavite State Uiversity College of Nursing.

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    ' Leopold S Manaeuver

    Uploaded by

    jamillium
    126 views30 pages
    This is a presentation which I have presented in my MCN class at the Cavite State Uiversity College of Nursing.

    Original Title

    Leopold’s Manaeuver

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    © Attribution Non-Commercial (BY-NC)

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    This is a presentation which I have presented in my MCN class at the Cavite State Uiversity College of Nursing.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    126 views30 pages

    ' Leopold S Manaeuver

    Uploaded by

    jamillium
    This is a presentation which I have presented in my MCN class at the Cavite State Uiversity College of Nursing.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 30

    Leopold ’ s Manaeuver

    JEFFREY A . LUCERO , S . L .
    III Bachelor of Science in Nursing
    Cavite State University, Indang, Cavite
    Contents
    Definition
    Preparatory Procedures
    Manaeuvers
    üFirst Manaeuver
    üSecond Manaeuver
    üThird Manaeuver
    üFourth Manauver
    Definition
    a common and systematic way to
    determine the position of a fetus inside
    the woman's uterus
    named after the gynecologist Christian
    Gerhard Leopold
    also used to estimate term fetal weight
    Preparatory
    Procedures

    1. Instruct woman
    to empty her
    bladder first.
    Rationale:


    The full bladder
    may be mistakenly a
    part of the fetus.
    2.

    Place woman in dorsal
    recumbent position, supine
    with knees flexed to relax
    abdominal muscles. Place a
    small pillow under the head
    for comfort.
    Rationale:


    This easily exposes
    the body part to be
    examined.


    3. Drape the client
    properly.
    Rationale:


    This promotes
    privacy.

    4.

    Explain procedure to
    the patient.
    Rationale:


    This make the client
    knowledgeable and
    establishes rapport between
    the her and the nurse.

    5.

    Warm hands by rubbing
    together.
    Rationale:


    Cold hands can stimulate
    uterine contractions.
    6.

    Use the palm for
    palpation not the
    fingers.
    Rationale:


    Doing so clearly verifies
    the accuracy of the
    procedure.
    Manaeuvers
    First manaeuver:Fundal Grip
    Purpose:
    1.To determine fetal part lying in the fundus.
    2.To determine presentation.

     Procedure:

    Using both hands, feel for the fetal
    part lying in the fundus.


    First manaeuver:Fundal Grip

    Head is more firm, hard and round that
    moves independently of the body.

    Breech is less well defined that moves


    only in conjunction with the body.

    Findings…
    Second manaeuver:Umbilical Grip
    Purpose:
    1.To identify location of fetal back.
    2.To determine position.

     Procedure:

    One hand is used to steady the uterus on
    one side of the abdomen while the other
    hand moves slightly on a circular motion
    from top to the lower segment of the
    uterus to feel for the fetal back and small
    fetal parts. Use gentle but deep pressure.

    Second manaeuver:Umbilical Grip

    Fetal back is smooth, hard, and resistant


    surface

    Knees and elbows of fetus feel with a


    number of angular nodulation

    Findings…
    Third manaeuver:Pawlik’s Grip
    Purpose:
    1.To determine engagement of presenting part.

     Procedure:

    Using thumb and finger, grasp the
    lower portion of the abdomen above
    symphisis pubis, press in slightly and
    make gentle movements from side to
    side.
    Third manaeuver:Pawlik’s Grip

    The presenting part is not engaged if it is


    not movable.

    It is not yet engaged if it is still movable.

    Findings…
    Fourth manaeuver:Pelvic Grip
    Purpose:
    1.To determine the degree of flexion of fetal
    head.
    2.To determine attitude or habitus.
     Procedure:

    Facing foot part of the woman, palpate
    fetal head pressing downward about 2
    inches above the inguinal ligament.
    Use both hands.
    Fourth manaeuver:Pelvic Grip

    Good attitude – if brow correspond to the


    side (2nd manaeuver) that contained the
    elbows and knees.

    Poor atitude – if examining fingers will meet


    an obstruction on the same side as fetal
    back (hyperextended head) Also palpates
    infant’s anteroposterior position. If brow is
    very easily palpated, fetus is at posterior
    position (occiput pointing towards woman’s
    back)

    Findings…
    That’s all for
    Leopold’s Manaeuver..

    …some questions?

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