PM- LEOPOLD'S MANEUVER

Question 1

a common and systematic way to
determine the position of a fetus
inside the woman’s uterus

Answer 1

LEOPOLD’S MANEUVER

Question 2

LEOPOLD’S MANEUVER named after

Answer 2

gynecologist Christian Gerhard Leopold

Question 3

what is the purpose of LEOPOLD’s MANEUVER

Answer 3

determine the position, presentation, and engagement of the
fetus in utero

Question 4

what are the three things to prepare before performing LM

Answer 4

-prepare your self
-prepare the environment
- prepare the client

Question 5

MATERIALS FOR
LEOPOLD’S MANEUVER

Answer 5

Tape measure
Pinard stethoscope/ stethoscope
Gloves (optional)
Blanket or drape

Question 6

best time for leopold’s maneuver?

Answer 6

after 24 weeks gestation. (32 weeks onwards according to the video) (6mo-8mo)

Question 7

why should you ask the female to empty bladder before performing the maneuver? (two reasons)

Answer 7

• comfort
• contour of the fetus is not obscured

Question 8

what position should the female assume for Leopold’s maneuver

Answer 8

Dorsal Recumbent with knees flexed

Question 9

give the contraindications for Leopold’s maneuver

Answer 9

• active and consistent uterine contractions
• vaginal bleeding

Question 10

what is the purpose of a fundal grip

Answer 10

determine fetal lie
and fundal height

Question 11

broad, firm, irregular soft mass indicates

Answer 11

fetal buttocks is in the fundus.

Question 12

if fetal buttocks is in the fundus what is the presentation and how does it lie

Answer 12

cephalic presentation and longitudinal lie

Question 13

A smooth, globular mass indicates

Answer 13

head is in the fundus

Question 14

what do you call the presentation where the head is at the fundus

Answer 14

Breech presentation (longitudinal lie)

Question 15

An upper pole that is empty, indicates

Answer 15

Transverse lie- shoulder presentation

Question 16

what is the purpose of a lateral/umbilical grip

Answer 16

To locate the fetal back and limbs.
To determine the position (i.e., ROA, LOA, etc)

Question 17

LATERAL / UMBILICAL GRIP- continuous smooth structure

Answer 17

indicates its fetal back.

Question 18

what is the best place to monitor fetal heart rate

Answer 18

continuous smooth structure- fetal back

Question 19

Irregular multiple knoblike structures indicates

Answer 19

fetal limbs

Question 20

PAWLIK’S GRIP purpose

Answer 20

evaluate presenting part into the pelvis and
engagement.

Question 21

Pawliks, fundal, umbilical remain to the side of the patient facing them,

Answer 21

Then, try to move presenting fetal part
between your thumb and four fingers.

Be gentle and cautious during this step.

Question 22

– you will feel the head of the fetus between

Answer 22

lie is longitudinal and presentation is vertex,

Question 23

the lower pole of the uterus will also be empty.

Answer 23

lie is transverse, Hence no fetal parts will
be palpable.

Question 24

pawlik’s grip- you will feel the less distinct
mass.

Answer 24

the presenting part is engaged

Question 25

pawliks's grip- the mass will feel much softer and smaller.

Answer 25

presenting part is breech

Question 26

PELVIC GRIP PURPOSE

Answer 26

- confirm the presenting part of the fetus and its descent into the pelvis

Question 27

in this grip you change position and face the client's feet as well

Answer 27

PELVIC GRIP

Question 28

How can you tell presenting part is floating during the pelvic grip

Answer 28

If the fingers of both hands meet (converge) below presenting part indicates

Question 29

how can you tell the presenting part is engaged

Answer 29

the fingers of both hands diverge below the presenting part indicates presenting part

Question 30

how can you tell a fetal head is well flexed in a vertex presentation

Answer 30

if cephalic prominence is felt on the opposite side of the back

Question 31

what can you feel if fetal head is deflexed or extended

Answer 31

you will feel a groove between the cephalic prominence and fetal back.

Question 32

using a tape measure from what point and another should you measure fundal height

Answer 32

top of uterus until top of pubic bone

Question 33

Fundal height is approximately equal to the weeks of gestation, from about mid-pregnancy until nearly the end of pregnancy.

Answer 33

MACDONALD’S RULE

Question 34

A rule for determining the duration of pregnancy by measuring the height of the fundus of the uterus above the pubic symphysis.

Answer 34

BARTHOLOMEW'’S RULE

Question 35

when is Leopold's maneuver difficult to perform?

Answer 35

1. obese/overweight client 2. polyhydramnios

Question 36

what is polyhydramnios

Answer 36

too much amniotic fluid around the baby during the baby.

Question 37

What are the for maneuvers in order

Answer 37

1st: fundal grip 2nd: lateral/umbilical grip 3rd: pawlik's grip 4th: pelvic grip