College of Nursing and Allied Health Sciences

NCM 1103 Related Learning Experience

Return Demonstration no. 1 - Measuring Fundal Height

Name: Date:
Level:

Performed with
Performed Not done
Procedures assistance Remarks

1. Gather equipments:
Pliable nonstretchable tape measure , bath
blanket, clean gloves
2. Confirm the patient's identity by
using two patients identifiers according to
facility policy
3. Explain the procedure to the patient and
wash your hands
4. Help the patient into a supine position
and drape her appropriately with a bath
blanket to provide privacy;expose her
abdomen.
5. Position one end of the tape measure at
the notch of the symphysis pubis.
6. Pull the tape measure up and over the
patient’s abdomen to the top of the
fundus,being careful not to tip the corpus
of the fundus back
7. Measure the distance in centimeters and
record
Total Total score:

Note: Perfomed = 2 pts

Performed with assistance= 1pt
not done= 0 pt
 College of Nursing and Allied Health Sciences
NCM 1103 Related Learning Experience
Return Demonstration no. 2 - Leopold's Maneuver

Name: Date:
Level:

Performed with
Procedures Performed assistance Not done Remarks
1. Confirm the patient’s identity by using
two patient identifiers according to facility
policy.
2. Explain the procedure to the patient and
ask her to empty her bladder
3. Wash your hands.
4. Help the patient into a supine position
and expose her abdomen while
maintaining her privacy
5. Perform the first maneuver. Face the
patient and curl your fingers around the
fundus. With the fetus in vertex
position,the buttocks feel irregularly
shaped and firm. With the fetus in breech
position,the head feels hard,round,and
movable.
6. Perform the second maneuver. Move
your hands down the sides of the
abdomen,and apply gentle pressure. If the
fetus lies in vertex position,you’ll feel a
smooth,hard surface on one side—the fetal
back. Opposite,you’ll feel lumps and
knobs—the knees,hands,feet,and elbows.
If the fetus lies in breech position,you may
not feel the back at all.

7. Perform the third maneuver. Spread

apart the thumb and fingers of one hand.
Place them just above the patient’s
symphysis pubis. Bring your fingers
together. If the fetus lies in vertex position
and hasn’t descended,you’ll feel the head.
If the fetus lies in vertex position and has
descended,you’ll feel a less distinct mass.
8. Perform the fourth maneuver in late
pregnancy, To determine flexion or
extension of the fetal head and neck,place
your hands on both sides of the lower
abdomen. Apply gentle pressure with your
fingers as you slide your hands
downward,toward the symphysis pubis. If
the head presents,one hand’s descent will
be stopped by the cephalic prominence.
The other hand will be unobstructed.
Total Total score:

Note: Perfomed = 2 pts

Performed with assistance= 1pt
not done= 0 pt