MCN - RLE - Leopold's Maneuver

LMP

Check for the ____ of the Pregnant woman before perform the Leopold's maneuver

Leopold's Maneuver

A systematic method of observation & palpation to determine the presentation, fetal position, attitude, fetal lie & degree of engagement

Presentation of the Fetus

The part of the fetus which occupies the lower pole of the uterus/birth canal/ maternal pelvis is called

Cephalic

The normal birth position

Cephalic Vertex

the most common and favorable position for a baby to be in during late pregnancy and delivery. It means the baby is positioned head-down, with the back of their head (occiput) facing the front of the mother's pelvis.

Cephalic Brow

The fetus is positioned headfirst, but the fetal head is extended, with the brow (forehead) presenting rather than the top of the head (vertex) or face

Cephalic Sinciput

The fetus is positioned head-first in the birth canal, but the head is not fully flexed

Cephalic Mentum

The fetal chin (mentum) being the presenting part, rather than the more common occiput (back of the head)

Breech

Refers to a baby positioned with its buttocks or feet first in the birth canal, rather than the head, which is the typical delivery position

Cesarean

when the baby is at a breech position, it's possible to deliver them in what special procedure?

Complete Breech

The baby is positioned with their buttocks presenting first, and both hips and knees are bent, so the feet are near the buttocks. This means the baby's knees are bent and drawn up towards their chest, and their feet are positioned near their bottom.

Transverse Lie

When a baby is sideways — lying horizontal across the uterus, rather than vertical

Frank Breech

type of breech presentation where the baby's hips are flexed (bent), but the knees are extended (straight), so the baby's buttocks are the presenting part, and the legs are extended upwards with the feet near the baby's face.

Frank Breech Position

This is the most common type of breech presentation.

Footling Breech

a type of incomplete breech, one or both of the baby's feet are the presenting part, meaning they are the first to come out during delivery, instead of the baby's buttocks.

Longitudinal Presentation

a fetal lie where the baby's spine is parallel to the mother's spine, meaning the baby is positioned either head-down or breech within the uterus.

Oblique Presentation

the baby's spine is neither parallel (longitudinal) nor perpendicular (transverse) to the mother's spine, but rather diagonal or slanted

Fetal Lie

refers to the relationship of the longitudinal axis of the fetus to the long axis of the maternal spine.

Fetal Position

The location of the point of direction of the fetus, with reference to the pelvis of the mother as viewed by the examiner. The position may be right or left, anterior or posterior

Right, Left, Occipitu, Posterior, Anterior, and Transverse

The fetal lie may be in what positions? (RLOPAT)

Fetal Attitude

The relation of the different parts (head and body) of the fetus to one another

Flexion

Universal Fetal Attitude (Good Attitude)

Extension

Bad Fetal Attitude

Fundic Height

To measure the fetal station, start at the ___ at the Pubic Symphisis

Fetal Engagement

means maximum transverse diameter of the presenting part passes through the pelvic brim

Dorsal Recumbent Position

What is the position for Mothers when performing the Leopold's Maneuver

Hypotension

Watch out for _ when putting the mother in DR Position.

Centimeters

The fundic height is in what metric unit?

Symphysis Pubis to the Fundus

Measure the Fundic height from the to the ___

120 - 160 Bpm

Normal fetal heart tone

20th week

The Fetal Heart Tone is audible in an ordinary stethoscope in what week?

Fundal Grip

It is done by palpating the fundal area to determine which part is located in the uterine fundus.

Umbilical Grip

It is done by palpating and identifying the fetal back in relation to the right and left side of the mother

Back of the Fetus

The FHT is determined at which side of the fetus?

Smooth and Firm

The fetal back should be?

Round and Firm/ Head

If you've palpated _ in the fundus using the Fundic Grip, it's the _

Soft / Buttocks

If you've palpated _ in the fundus using the Fundic Grip, it's the _

Pawlick

It's used to determine if the presenting part has entered the pelvic.

Fetal Engagement

The pawlik's grip is used to determine the?

Movable

When the baby's head is _ using the Pawlik's Grip, the it's Not engaged

Not Movable

When the baby's head is _ using the Pawlik's Grip, the it's engaged

Descend

When the baby's head is engaged and not movable, it's ready to?

Pelvic Grip

It's done by assessing the descent of the presenting part by palpating the cephalic Prominence

1 week

1 cm of the Fundic height is equivalent to _ AOG

Estimated Due Date

calculation from LMP, can be done with obstetrical wheel, with a calculator or using Naegele's rule

+9 + 7

Constant formula if LMP is from January to March

-3 +7 +1

Constant formula if LMP is from April to December

Human Chorionic Gonadotropin

hormone produced by the placenta to sustain pregnancy by stimulating the ovaries to produce estrogen and progesterone

HCG

Detectable in the PTs

1-3 Mos

1st trimester

4-6 mos

2nd trimester

7-9 mos

3rd trimester

3rd Trimester

Do the Leopold's maneuver during what trimester