MCN-RLE (FUNDIC HEIGHT/LEOPOLD'S MANEUVER)

The distance measured from the upper border of the symphysis pubis to the top of the uterine fundus.

Fundic height measurement

The anatomical landmark used as the starting point for measuring fundic height.

Symphysis pubis

The uppermost portion of the uterus palpated during pregnancy.

Uterine fundus

The instrument used to obtain the fundic height measurement.

Measuring tape

The type of assessment that does not require entering the body.

Non-invasive assessment

The fetal characteristic estimated using fundic height measurement together with fetal growth.

Gestational age

Fundic height measurement helps detect fetal ________ abnormalities.

Growth

Besides fetal growth, fundic height helps assess ________ fluid volume.

Amniotic

A quick, non-invasive assessment that reflects maternal and fetal well-being.

Fundic height measurement

Before performing fundic height measurement, the mother should empty this organ.

Bladder

The maternal position used during fundic height measurement.

Supine position

The end of the tape measure placed on the symphysis pubis.

Zero end

The line along which the measuring tape should be stretched.

Midline

The unit of measurement used when recording fundic height.

Centimeters (cm)

After measuring, the nurse compares the result with the expected ________ age.

Gestational

Before beginning the procedure, the nurse explains the procedure and ensures the patient's ________.

Privacy

A full bladder may cause the fundic height measurement to appear falsely ________.

Increased

The two anatomical landmarks identified before measuring are the symphysis pubis and the uterine ________.

Fundus

A diagnostic procedure commonly performed when fundic height is inconsistent with gestational age.

Ultrasound

The final nursing action after obtaining the measurement.

Record (Document)

Leopold's maneuvers consist of ________ systematic abdominal palpations.

Four

The type of palpation used during Leopold's maneuvers.

Abdominal palpation

The relationship between the fetal spine and the maternal spine.

Fetal lie

A fetus presenting head first has a ________ presentation.

Cephalic

A fetus presenting buttocks first has a ________ presentation.

Breech

A fetus lying sideways across the uterus has a ________ lie.

Transverse

A fetus lying diagonally within the uterus has an ________ lie.

Oblique

Leopold's maneuvers help determine whether the presenting part has entered the maternal ________.

Pelvis (Pelvic inlet)

Detecting abnormal fetal presentations early helps in ________ planning.

Delivery

Leopold's maneuvers are an essential part of ________ care.

Antenatal

During the first maneuver, the nurse stands facing the patient's ________.

Head

The first maneuver determines which fetal part occupies the uterine ________.

Fundus

A fetal head feels hard, round, smooth, and ________.

Ballotable

A large, soft, irregular structure moving with the trunk indicates the fetal ________.

Buttocks

A hard, round structure that moves independently from the trunk indicates the fetal ________.

Head

The second maneuver primarily identifies the fetal ________.

Back

Fetal limbs feel ________, irregular, and bumpy.

Knobby

The fetal back is described as smooth, firm, and ________.

Resistant

After locating the fetal back, the nurse assesses the fetal ________.

Fetal heart rate (FHR/FHT)

The normal fetal heart rate is ________ beats per minute.

110–160

The handheld ultrasound device commonly used to assess fetal heart tones.

Doppler

The gel applied before using the Doppler.

Ultrasound gel

During the third maneuver, the nurse palpates just above the ________.

Symphysis pubis

The third maneuver determines the presenting part and whether it is ________.

Engaged

A presenting part that is movable or floating is considered ________.

Not engaged

A presenting part that is fixed in the pelvic inlet is considered ________.

Engaged

During the fourth maneuver, the nurse stands facing the patient's ________.

Feet

The fourth maneuver determines the fetal ________.

Attitude

The cephalic prominence helps determine whether the fetal head is flexed or ________.

Extended

A fully flexed fetal head is consistent with ________ presentation.

Vertex