Labor and Delivery 45 Study Guide Questions And Answers

The Leopold's Maneuver is used to determine: - ️️1. number of fetuses 2. presenting part 3. fetal lie 4. fetal attitude 5. degree of fetal descent 6. fetal heart rate's anticipated point of maximum intensity The four parts of Leopold's Maneuver - ️️The Fourth Maneuver: The nurse faces the patient's feet and attempts to locate the cephalic prominence, (brow). Location of this landmark assists in assessing the decent of the presenting part into the pelvis. This maneuver also indicates whether the fetus' head is flexed or distended, (571). Leopold's First Maneuver: - ️️Nurse palpates the upper abdomen with both hands. The nurse is to determine the size, shape, mobility and consistency of the form that is found. - determine fetal lie and presentation, shape, size, etc Leopold's Second Maneuver: - ️️After ascertaining whether the head or the buttocks occupies the fundus, the nurse tries to determine the location of the fetal back and notes whether is it is on the right or the left side of the maternal abdomen. Once the back is located the nurse confirms by palpating the fetal extremities Leopold's Third Maneuver: - ️️Nurse determines which fetal part is lying above the inlet by gently grasping the lower portion of the abdomen just above the symphysis pubis with the thumb and fingers of the right hand