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LEOPOLDS
Procedure
Question | Answer |
---|---|
Leopold 1st procedure | Assess client |
Leopold's 2nd procedure | gather equipment needed |
Leopold's 3rd procedure | Perform Hand hygiene |
Leopold's 4th procedure | Introduce, Identify client & explain procedure |
Leopold's 5th procedure | Instruct patient to void before procedure |
Leopold's 6th procedure | Provide Privacy |
Leopold's 7th procedure | Place Client in a supine position w/ knees slightly flexed and a small pillow/rolled towel at the right side of the back |
Leopolds 8th procedure | Ask consent, then expose the womb 1st Maneuver (Fundal Grip) - Face clients head - form a triangle - Palpate yung top ng fundus kapag round, hard and movable breech, pag soft, small and immovable cephalic |
Leopolds 9th procedure | 2nd Maneuver (Umbilical/Lateral Grip) - Face the clients head - palpate yung sides ng abdomen, one hand supporting yung isa nagpapalpate and vice versa -it should feel flat and long |
Leopolds 10th procedure | 3rd Maneuver (Pawlick's Grip) -Form an L-shape -Place it above symphysis pubis -Kapag na lilift yung ulo ng baby hindi engage dapat di sya nalilift |
Leopolds 11th procedure | 4th Maneuver (Pelvic grip) -Face clients feet -Palpate from symphysis pubis downward motion sa sides ng abdomen |
Leopolds 12thprocedure | Place client in a comfortable position |
Leopolds 13th procedure | note all assessment |
Leopolds 14th procedure | Perform hand hygiene |
Leopolds 15th procedure | Document, note any unusual findings |
Purpose ng 1st Maneuver (fundal grip) | to determine fetal presentation, if breech or cephalic yung baby |
Purpose ng 2nd Maneuver (Umbilical/Lateral) | para mahanap yung fetal back kasi sa fetal back ip-place yung heart rate monitor kasi mas accurate yung heart rate |
Purpose ng 3rd Maneuver (Pawlick's Grip) | to determine the degree of engagement |
Purpose ng 4th Maneuver (Pelvic Grip) | to determine the degree of flexion |