Leopold's Maneuver

Question 1

Systematic palpation of the pregnant woman’s abdomen to determine several data

Answer 1

Leopold’s Maneuver

Question 2

Position

Answer 2

Dorsal recumbent

Question 3

Draping Procedure:

Answer 3

horizontal

Question 4

When to do Leopold’s Maneuver:

Answer 4

can be done at 5 months but best at 7-9 months

Question 5

HEAD TO TOE ASSESSMENT ( include mouth and teeth)

Answer 5

Doppler

Question 6

2. BASELINE MATERNAL AND FETAL STATUS

Answer 6

VS for mother
FHT
Movements
Uterine contractions
Weight

Question 7

Normal range: beats/min

Answer 7

Normal range: 120 – 160 beats/min

Question 8

Instruments used:

Answer 8

Stethoscope, fetoscope, Doppler, Electronic fetal monitor

Question 9

Should not be taken during

Answer 9

uterine contraction

Question 10

Fundal grip – find out what is occupying the uterus
Fetal presentation

Answer 10

1st Maneuver (Upper pole)

Question 11

Umbilical grip
Fetal back

Answer 11

2nd Maneuver (sides of maternal abdomen)

Question 12

Paulick grip
Assess for fetal engagement
Floating or engaged
Primi: 2 weeks before labor
(engagement)
Multi: during labor

Answer 12

3rd Maneuver (Lower pole)

Question 13

Pelvic grip
Fetal position
Fetal attitude

Answer 13

4h Maneuver (presenting part evaluation) - Pelvic Grip

Question 14

Schedule of Prenatal Visits (low-risk pregnancy)

Answer 14

■ Monthly until 28 weeks’ gestation
■ Biweekly from 28 weeks until 36 weeks
■ Weekly from 36 weeks until delivery

Question 15

Prenatal Health History
Performing a thorough health history in the prenatal period is essential to planning nursing care and identifying high-risk women.

Answer 15

Medical history
■ Chronic illness
■ Current and recent medication
■ Recent acute illness
■ Childhood illnesses
■ Surgical history
■ Problems with anesthesia
■ Previous surgeries
■ Uterine/cervical surgeries
■ Obstetrical history
■ Type of deliveries: vaginal/cesarean
■ Complications with past pregnancies
■ Infertility
■ Documentation of obstetrical history

Question 16

Number of pregnancies

Answer 16

Gravida (G)

Question 17

Number of deliveries after 37 weeks

Answer 17

Term (T)

Question 18

Number of deliveries after 20 weeks but before 38 weeks

Answer 18

Preterm (P)

Question 19

Number of deliveries before 20 weeks,meither spontaneous or induced

Answer 19

Abortion (A)

Question 20

Number of living children

Answer 20

Living (L)

Question 21

■ Obtain urine specimen and test for presence of:

Answer 21

Substance
Expected Finding
Glucose
Negative/Trace
Protein
Negative/Trace