OUR LADY OF FATIMA UNIVERSITY

College of Nursing – Quezon City Campus

PROGRAM Bachelor of Science in Nursing STUDENT NAME

NCMA 217 RLE YEAR AND SECTION
Care of Mother and Child and Adolescent
COURSE INSTRUCTOR
(Well Client)
SKILLS LABORATORY DATE

PROCEDURE : LEOPOLD’S MANEUVER

EXPECTED OUTCOME : The student should be able to perform Leopold’s maneuver correctly.
ASSESSMENT TASK : Return Demonstration

Exceptional Good Average Poor

Assessment Dimension SCORE
(4) (3) (2) (1)
1. Gather materials Gathered the Gathered the Gathered Failed to
materials needed materials materials with gathered
completely with little more time all the
time preparation materials
preparation needed
2. Do hand washing Observed principle Hand Hand washing was Hand
of medical hand washing was done with washing
washing done with maximal error was not
minimal done
error
3. Identify client. Explain the Explained the Explained the Explained the Failed to
procedure. Provide privacy. procedure to the procedure procedure but in explain the
client and significant but lacks an unclrear procedure
others clearly and details manner
completely with
approval

4. Allow client to void before the Performed the Performed Performed with Failed to
procedure. procedure accurately but needs slight difficulty, perform
with evident ease minimal needs supervision the
without supervision supervision most of the time procedure

5. Place client in supine or dorsal Performed the Performed Performed with Failed to
recumbent position. procedure accurately but needs slight difficulty, perform
with evident ease minimal needs supervision the
without supervision supervision most of the time procedure

6. Do the first maneuver (Upper Demonstrated the Demonstrate Demonstrated the Failed to
lobe) procedures with d the procedure with perform
a. Examiner must face the ease procedure some errors the
client’s head with little procedure
b. Palpate the uterine errors
fundus
c. Determine what fetal
part is at the uterine
fundus
7. Do the second maneuver (sides Performed the Performed Performed with Failed to
of maternal abdomen) procedure accurately but needs slight difficulty, perform
a.Examiner must face the with evident ease minimal needs supervision the
client’s head without supervision supervision most of the time procedure
b.Palpate with one hand on
each side of the abdomen
c.Palpate fetus between
two hands
d.Assess which side is spine
 & which side are
extremities.
8. Do third maneuver (Presenting Performed the Performed Performed with Failed to
part evaluation) procedure accurately but needs slight difficulty, perform
a. Examiner faces client’s with evident ease minimal needs supervision the
head without supervision supervision most of the time procedure
b. Apply downward
pressure on uterine
fundus
c. Hold the presenting
part between index and
thumbs
d. Assess fetal attitude.
9. Do fourth maneuver (Lower Performed the Performed Performed with Failed to
Pole) procedure accurately but needs slight difficulty, perform
a.Examiner faces client’s with evident ease minimal needs supervision the
foot part without supervision supervision most of the time procedure
b.Palpate just above the
symphysis pubis
c.Palpate for fetal
presenting part between
two hands
d.Assess degree of
engagement/ ballotment
10. Note all the assessment. Performed the Performed Performed with Failed to
procedure accurately but needs slight difficulty, perform
with evident ease minimal needs supervision the
without supervision supervision most of the time procedure
11. Place client in a comfortable Performed the Performed Performed with Failed to
position procedure accurately but needs slight difficulty, perform
with evident ease minimal needs supervision the
without supervision supervision most of the time procedure
12. Wash hands and Washed hands and Washed Washed hands but Washed
documentation including documented the hands and most of the details hands but
findings. information about some of the of the procedure documenta
the procedure details of were not tion was
properly and procedure documented not done.
completely. were not
documented.

SCALE:
3 – (EXCEPTIONAL) Works competently and independently at all times
2 – (GOOD) Requires minimum guidance and supervision
1 – (AVERAGE) Requires frequent guidance and supervision
0 – (POOR) Requires close guidance and supervision most of the time

OVERALL SCORE: ________________

Target raw score is 27 out of 36. If raw score is less than 27, repeat the demonstration.

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FACULTY SIGNATURE OVER PRINTED NAME STUDENT NURSE SIGNATURE OVER PRINTED NAME