LEOPOLD'S MANEUVER AND FUNDAL HEIGHT MEASUREMENT l RETURN DEMONSTRATION (student nurse)

Summary

In this educational video, Shantalati from BSN2 8-3 demonstrates the proper execution of Leopold's maneuvers and how to measure the fundal height in pregnant women. She explains each step, emphasizing the importance of patient privacy, proper hand hygiene, and patient comfort. Shantalati guides viewers through the four maneuvers to assess fetal presentation and lie, and how to locate the fetal back for auscultation. The video concludes with a reminder to ensure patient comfort and cleanliness, and to document findings.

Takeaways

• 👩‍⚕️ The video is a tutorial by Shantalati from BSN2 8-3 on performing Leopold's maneuvers and measuring the fundal height in pregnant women.
• 🧼 Importance of hand hygiene is emphasized to prevent cross-contamination of microorganisms.
• 🤰 The pregnant woman should urinate before the assessment to avoid discomfort.
• 🛏️ The patient is positioned supine with a pillow to prevent supine hypotension syndrome.
• 👐 The first maneuver (fundal grip) assesses the fetal presentation, distinguishing between breech and cephalic presentations.
• 📏 Fundal height is measured using a tape measure with the zero line above the symphysis pubis.
• 🔍 The second maneuver (umbilical grip) involves palpating the sides of the uterus to locate the fetal back for auscultation of the fetal heart rate.
• 🤲 The third maneuver (pollux grip) checks the degree of fetal head engagement by assessing the movement of the head.
• 👣 The fourth maneuver (pelvic grip) is performed with the practitioner facing the patient's feet, assessing the degree of fetal flexion.
• 📝 After the assessment, the patient is positioned comfortably, hands are washed, and findings are documented.

Q & A

What is the main focus of the video presented by Shantalati?

The main focus of the video is to demonstrate how to properly perform Leopold's maneuvers and measure the fundal height of a pregnant woman.

What are the four maneuvers involved in Leopold's maneuver?

The four maneuvers involved in Leopold's maneuver are the fundal grip, the umbilical grip, the pollux grip, and the pelvic grip.

Why is it important to know the fetal presentation and fetal lie of the baby?

Knowing the fetal presentation and fetal lie is important for assessing the baby's position within the womb and can help determine if the baby is in a suitable position for delivery.

What is the purpose of measuring the fundal height?

Measuring the fundal height is done to estimate the size of the uterus and the baby's growth, which can indicate if the baby is developing normally.

Why should the patient urinate before the assessment begins?

The patient should urinate before the assessment to avoid discomfort during the procedure and to ensure an accurate assessment of the fundal height.

What position should the pregnant woman be in during the assessment?

The pregnant woman should be in a supine position with slightly flexed knees and a small pillow behind her back to prevent supine hypotension syndrome.

How is the fundal height measured?

The fundal height is measured using a tape measure with the zero line positioned superior to the symphysis pubis, following the abdominal curve.

What is the significance of the umbilical grip in Leopold's maneuver?

The umbilical grip is used to determine the fetal back's location, which is important for auscultating the fetal heart rate using a doppler or fetoscope.

What does the pollux grip help to determine?

The pollux grip helps to determine the degree of engagement of the fetal head, indicating whether the head is engaged or not.

How does the pelvic grip contribute to the assessment?

The pelvic grip, the fourth maneuver, is used to assess the degree of flexion of the fetal head and to confirm findings from the umbilical grip.

Why is hand washing emphasized before and after the procedure?

Hand washing is emphasized to prevent cross-contamination of microorganisms and maintain hygiene for both the healthcare provider and the patient.