PERFORMANCE EVALUATION TOOL

NAME OF STUDENT: ____________________________________________

LEVEL & BLOCK: SCHOOL YEAR & TERM:

_____________________________ ___________________________ OVERALL RATING

ESTIMATING FETAL LENGTH AND LEOPOLD’S MANEUVER

PERFORMANCE EVALUATION CHECKLIST 4

PROCEDURE PERFORMED PERFORMED UNABLE

INDEPENDENTLY WITH TO
ASSISTANCE PERFORM REMARKS
4-5 2-3 0-1
ASSESSMENT
1. Greet the patient, introduce
yourself and explain the
procedure.

2. Wash hands.

3. Take the vital signs.

PLANNING
4. Place the client in supine position
with knees slightly flexed.
IMPLEMENTATION
5. Palpate the client’s abdomen with
warm hands.

6. Measure the Fetal Length by

measuring from symphysis pubis
up to the fundus.

7. First Maneuver: Fundal Grip

Stand beside the patient and lay two
hands above the abdomen just below the
xyphoid process. Gently move the hands
downward and palpate the fundus with the
tips of the fingertips of both hands to
define fetal parts present. If a hard round
mass is palpated, it is the head. If it is
soft, irregular and not movable, then it is
the buttocks.

8. Second Maneuver: Umbilical

Grip
Transfer one hand on the left side of the
abdomen and the other hand on the right

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 side of the abdomen. The right hand will
apply gently pressure on the abdomen so
that the uterus is more superficial to the
other hand and the left hand will move in
circular motion, palpating for the mass
present.
If numerous nodular masses are palpated,
they are fetal extremities.
If one palpates a hard resistant plane, it is
the fetal back.

Do the same procedure on the other side

of the abdomen to confirm the findings.

9. Third Maneuver:
Pawlik’s/Paulik’s Grip
Spread the thumb and the forefingers of
one hand and place them just above the
symphysis pubis and bring the fingers
together.

10. Fourth Maneuver: Pelvic Grip

Face the patient’s feet and place both
hands on the two sides of the lower
abdomen above the inguinal ligaments to
determine the fetal attitude or degree
sliding your hands towards the symphysis
pubis.

If the head is present, one hand descent

will be stopped by the cephalic
prominence. The other hand descends
more deeply and unobstructed. If the fetus
is engaged, you cannot feel the cephalic
prominence.

11. Assist the client to a comfortable

position.

12. Wash hands.

DOCUMENTATION
13. Document pertinent data

REMARKS:
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CONFORME: STUDENTS SIGNATURE CLINICAL INSTRUCTOR

This document is the property of PHINMA EDUCATION