BACHELOR OF SCIENCE IN NURSING

PERFORMING LEOPOLD'S MANEUVER

PROCEDURE: 4 3 2 1
1. Explain the procedure.
2. Instruct the client to empty her bladder.
3. Wash hands.
4. Place woman in dorsal recumbent position, supine with knees flexed abdominal muscles.
Place a small pillow under the head for comfort.
5. Drape appropriately.
6. Warm your hands first by rubbing them together before placing over the pregnant woman's
abdomen.
7. Use the palm for palpation and not the fingers
FIRST MANEUVER (Fundal Grip)
8. Face the head part of the client.
9. Using the palm of both hands, palpate for the fetal part lying in the fundus.
SECOND MANEUVER (Umbilical Grip)
10. Put both hands on either side of the abdomen, applying gentle but deep pressure.
11. Hold one side of the abdomen steady, gradually palpate opposite side from top to the
lower segment of the abdomen to feel the fetal outline in a slightly circular motion.
12. Repeat the same procedure on the opposite side. To identify fetal parts correctly.
THIRD MANEUVER (Pawlik's Grip)
13. With the right hand, using thumb and finger, gently grasp the lower abdomen above the
symphysis pubis
14. Press in lightly using thumb and finger and make gentle movements from side to side.
15. Identify correctly the presenting part.
FOURTH MANEUVER (Pelvic Grip)
16. Face the client's foot part, place palm on the sides of the abdomen, just above the
inguinal ligament.
17. Grasp snugly the lower abdomen and with the outstretched thumbs meeting at the
umbilical level.
18. Identify correctly the degree of flexion, position and station of the presenting part
19. Prevent unnecessary exposure of client's body and return to position of comfort.
20: Wash hands, Records the findings correctly and relay findings to the client.
SCORE ( / 80 ) * 100 = .

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