VISION

“MABINI COLLEGES shall

cultivate a CULTURE of
EXCELLENCE in Education.”

PERFORMANCE
CHECKLIST
Leopold’s Maneuver and Taking Fetal Heart Tone

Name of
Student______________________________________________________________________
Year/ Group: _______________ School Year : ___________________________________
Semester /Term: First Semester ______ Second Semester _______ Summer ____________

Competency Rate

1 - Unsatisfactory (75- 80) 4 - Very Satisfactory ( 91 – 95)

2 - Fair (81 – 85) 5 - Outstanding (96 – 100)
3 - Satisfactory (86 – 90)

Performance Points 5 4 3 2 1 CI’s Remarks

I – KNOWLEDGE (40%)
1. Defines Leopold’s Maneuver and Taking FHT
2. State the purposes
3. Enumerate special considerations.
4. Identify materials/equipment needed.
5. State preparation of the patient.
6. State the principles/rationale behind specific
action.
II – SKILLS / ABILITY (40%)
1. Assess the physical condition of the mother
and baby.
2. Determine the nursing needs of mother and
baby.
3. Wash hands.
4. Prepare the client for the procedure.
5. Identify the client.
6. Explain the procedure.
7. Instruct patient/client to void or empty the
bladder.
8. Assist client and position in dorsal
recumbent.
9. Drape client to provide privacy.
10. Expose the abdomen from the level of
xyphoid process down to symphysis pubis.
11. Warm two hands by rubbing against the
other before placing them on the abdomen.
12. Perform the four maneuvers. During the
three maneuvers, the examiner stands at the
side of the (client) bed and faces the client.
First Maneuver
A. With both hands, palpate upper
abdomen and fundus for:
Consistency – head is round, hard,
breech is well defined.
Mobility – head moves independently,
breech lees mobile.
Second Maneuver
A. With both hands moving down; palpate
the sides of the uterus from the top to
bottom.
1. One side – smooth, hard, resistant
surface (back)
Other side – angular modulation
(knees and elbows).
Third Maneuver
A. With the right hand over the symphysis
pubis, identify the presenting part by
grasping the lower abdomen with
thumb and fingers.
Assess whether the presenting part is
engaged in the pelvis (if head is
engaged, it will nt move. If it is soft, it is
the back.
Fourth Maneuver
The nurse alters position by turning toward
the patient’s feet, with both hands; assess the
descent of the presenting part by locating the
cephalic prominence of brow.
A. Place your fingers on both sides of the
uterus, about two inches above the
inguinal ligament. Press downwards and
inward.
B. If the fetal back is palpated, it meets no
obstruction.
 C. The other hand will meet obstruction,
the fetal brow is palpated.
14. If the uterus is not contracting, place the
bell of the stethoscope over the quadrant of
the mother’s abdomen where the fetal back is
located.
15. Listen for and count the fetal heart tone in
one full minute. Take note of the rate,
regularity, strengths and any deviation of the
fetal heart tone.
16. Make the client comfortable.
17. Record/chart any abnormal observation and
findings on the mother and baby. Chart the
characteristics of the fetal heart tone along the
position on the abdomen where fetal heart
tone was obtained.
III – ATTITUDE (20%)
1. Demonstrate preparedness, readiness and
confidence in the performance of the
procedure.
2. Accepts corrections/suggestions and shows
willingness to improve performance.
3. Answers questions politely and tactfully.
4. Shows respect and consideration of the
recipient of care.
5. Observe proper decorum and behave as a
mature student nurse.

Evaluated by: Conforme:

_____________________________ ______________________________
Signature over Printed Name / Date Signature over
Printed Name/Date
Clinical Instructor Student
 Leopold’s Maneuver and Taking Fetal Heart Tone

Definition:

 The Leopold maneuvers are used to palpate the gravid uterus systematically. This
method of abdominal palpation is of low cost, easy to perform, and non-invasive. It is
used to determine the position, presentation, and engagement of the fetus in utero.
 Leopold’s Maneuver is the abdominal palpation of pregnant women performed after 24
weeks gestation when fetal outline can be palpated
Purpose:

 To locate the fetal heart sound

 To determine FHR
 To determine single vs. multiple gestation
 To detect deviation from normal
Materials:

 Draw sheet
 Pinard Stethoscope
 Measuring tape
 Sanitizing gel