lauren
STUDENT NAME _____________________________________
leopold maneuvers
PROCEDURE NAME ____________________________________________________________________ REVIEW MODULE CHAPTER ___________
Description of Procedure
Have nurse stand at the side of the bed facing the client. Using both hands, feel for the fetal
par lying in the fundus, determine fetal back, determine what fetal part is lying above the inlet
or lower abdomen, determine the degree of flexion of fetal head.
CONSIDERATIONS
Indications
The abdominal examination method of Nursing Interventions (pre, intra, post)
Leopolds Maneuvers is a way to determine
the position of a fetus inside the uterus by Leopold Maneuvers cannot be performed
touching the abdomen by hands. This with a full bladder at all, therefore instruct
method is expected to enable expectant the patient to empty the bladder.
mothers to perceive the fetal position, and Privacy of the patient should be another top
priority, therefore drape properly.
stimulate the awareness of child presence.
Explain the whole procedure to the patient.
Palms should be used to palpate instead of
fingers.
Interpretation of Findings
Client Education
Determines position of the fetus
Have pt. empty bladder. This will promote
Determines presentation of the fetus
comfort and allows for more productive
Assessment of the shape of the maternal
palpation because fetal contour will not be
pelvis can indicate whether delivery is going
obsured by a distended bladder. Explain
to be complicated, or whether C-section is
procedures to gain pt's cooperation
necessary
Also used to estimate term fetal weight
Potential Complications Nursing Interventions
There are virtually no side effects or - Ausculate the FHR, post-maneuvers to
complications of the Leopold Methods. A assess the fetal tolerance to the procedure.
skilled nurse should execute the procedure - Document the findings from the
and care should be taken not to disturb the maneuvers
fetus in an excessive manner
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A3