CALAMBA DOCTORS’ COLLEGES

Parian, Calamba City, Laguna

Performance Evaluation Checklist

Name: ____________________ ____ Date: _______________

Year and Section: _______________

Instruction: Rate the nursing skill performance of the student based as follows: 5 = Perfect (91-100), 4 = Very
Satisfactory (85-90), 3 = Satisfactory (80-84), 2 = Poor (79-75), 1 = Need Improvement (74 and below)

Leopold’s Manuever

Preparation 5 4 3 2 1 Comments
1 Explain to the client what you are
going to do, why it is necessary, and how he can cooperate
2 Wash hands and observe other appropriate infection control
procedures
3 Instruct the patient to empty her bladder.
4 Provide for client privacy. Drape the client accordingly. Her abdomen
should be uncovered
5 Assist the client to a dorsal recumbent position. Place a small pillow
under the head for comfort. Ensure she is relaxed and adequately
positioned.
6 Warms your hands by rubbing them together before placing over the
woman’s abdomen.
7 Used the palm for palpation not finger.

Procedure
1 First Maneuver
A. Facing the woman, place the hands on top and side of the
uterus (fundus) and palpate.
Note the size, shape, and consistency of what is in the
fundus (upper portion of the uterus). The head feels smooth,
hard/firm, and round, freely movable and ballotable. A breech feels
irregular, rounded, softer, and is less mobile.

First maneuver - to determine fetal presentation (longitudinal axis) or

the part of the fetus (fetal head or breech) that is in the upper uterine
fundus.
2 Second Maneuver
A. Facing the woman, place hands on either side at the middle
of the abdomen. While one hand stabilizes the one side of
the uterus, the other hand pushes the contents of the
abdomen toward the other hand to stabilize the infant for
palpation.
B. Palpate, applying gentle but deep pressure, beginning at the
midline near the fundus and continue down the side
(posteriorly) toward the woman's back. Continue down the
abdomen to the symphysis pubis.
C. Determine what fetal body part lies on the side of the
abdomen. Reverse the hands and repeat the maneuver.
If firm, smooth, and a hard continuous structure, it is likely to
be the fetal back; if smaller, knobby, irregular, protruding, and
moving, it is likely to be the small body parts (extremities).
Second maneuver - to determine the fetal position or identify the
relationship of the fetal back and the small parts to the front, back, or
sides of the maternal pelvis.
3 Third maneuver
A. Facing the woman, grasp the part of the fetus situated in the
lower uterine segment between the thumb and middle/index
finger of one hand. Using firm, gentle pressure, determine if
the head is the presenting part. Pay close attention to the
size, contour, and consistency of the presenting part.
The head will feel firm and globular. If not engaged into the
pelvis, the presenting part is movable. If immobile, engagement
has occurred. If the part is firm it is head, soft then it is breech.

Third maneuver - to determine the portion of the fetus that is

presenting. This maneuver is also known as Pallach's maneuver or
grip
4 Forth Maneuver
A. Face the woman's feet, place finger on both side of the uterus
approximately 2 inches above the inguinal ligaments,
pressing downward and inward in the direction of the birth
canal, Allow fingers to be carried downward
B. The fingers of one hand will slide along the uterine contour
and meet no obstruction, indicating the back of fetal neck.
C. The other hand will meet the obstruction an inch this is the
fetal brow should correspond to the side of the uterus that
contained the elbow and knees of the fetus.
If the fetus is in a poor attitude the examining finger will
meet obstruction on the same side as the fetal back the finger will
touch the hyper-extended head.
If the brow is very easy palpated the fetus is probably in a
posterior position

Fourth maneuver - to determine fetal attitude or the greatest

prominence of the fetal head over the pelvic brim
5 Provide opportunities for the woman to ask questions and
express concerns.
6 Document assessment findings according to agency policy
Ave. Score =

Grade:
__________
Evaluated by:

__________________________
Clinical Instructor

https://www.youtube.com/watch?v=5K-ERuVrvj4