LEOPOLD'S MANUEVER

Question 1

Are systemic method of observation and palpation to determine fetal presentation and position

Answer 1

Leopold’s Maneuver

Question 2

consist of four distinct actions, each helping to determine the position of the fetus

Answer 2

Leopold’s Maneuver

Question 3

in conjunction with correct assessment of the maternal pelvis, this can indicate whether or not the delivery is going to be complicated, or whether or not a cesarean section is necessary

Answer 3

Leopold’s Maneuver

Question 4

• When client is obese
• When client has hydramnios
• The palpation can be uncomfortable if woman is not relaxed and adequately positioned

Answer 4

DIFFICULTIES IN PERFORMING MANEUVERS

Question 5

The health care provider should ensure that the woman has recently

Answer 5

emptied the bladder

Question 6

if unable to micturate, px may need to have a

Answer 6

straight urinary catheter inserted

Question 7

proper position of maneuver is

Answer 7

lay on her back with her shoulders raised slightly on a pillow and her knees drawn up a little

Question 8

• Patient should empty her bladder
• Examiner’s hand should be warm
• Explain the procedure to the patient
• Provide client’s privacy
• Position patient in dorsal recumbent

Answer 8

REMINDERS before maneuver

Question 9

• Determination of what fetal part is in the fundus

Answer 9

Fundal grip (1st)

Question 10

• Evaluation of the fetal back and extremities

Answer 10

Umbilical grip (2nd)

Question 11

• Palpation of the presenting part above the symphysis or the engagement

Answer 11

Pawlick’s grip (3rd)

Question 12

• Determination of the direction and degree of flexion of the head

Answer 12

Pelvic grip (4th)

Question 13

Done only when baby is in cephalic presentation

Answer 13

Pelvic grip (4th)

Question 14

position of the fetal presenting part and its descent into the pelvis and how far the fetus has descended

Answer 14

Fetal Station

Question 15

used to describe station 0

Answer 15

Ischial Spine of maternal pelvis

Question 16

is described by the relationship of the long axis of the fetus to the long axis of the mother.

Answer 16

FETAL LIE

Question 17

most common fetal lie

Answer 17

vertical lie

Question 18

this is a problem with a term baby and labor approaching

Answer 18

the transverse lie

Question 19

a problem in a a term pregnancy

Answer 19

Oblique lie

Question 20

When the fetus is in the vertex position (head first in reference to maternal pelvic) in fundal grip,

Answer 20

buttocks should feel irregular shape and firm

Question 21

When the fetus is in breech position (legs first in reference to maternal pelvic) in fundal grip,

Answer 21

the head should feel hard round and movable

Question 22

you’ll feel a smooth, hard surface on one side which is the fetal back if the fetus is in this position

Answer 22

vertex position during umbilical grip

Question 23

If the fetus is in this position during umbilical grip, you may not feel the fetal back at all

Answer 23

breech position

Question 24

if the fetus is in vertex and has descended during pawlick’s grip, you’ll feel a

Answer 24

less distinct mass

Question 25

if the fetus is in breech and has descended during pawlick's grip, you'll feel a

Answer 25

less distinct mass also which can be the feet or knees

Question 26

if the head is the presenting part during pelvic grip, your one hand will be stopped by

Answer 26

cephalic prominence

Question 27

during pelvic grip, the other hand descends unobstructed more deeply if

Answer 27

in vertex position

Question 28

you'll feel the CP on the same side as small parts if it is in the

Answer 28

face position same side as the back

Question 29

you won't feel the CP if the fetus is

Answer 29

engaged