LEOPOLD'S MANEUVER AND FUNDAL HEIGHT MEASUREMENT l RETURN DEMONSTRATION (student nurse)
Summary
TLDRIn 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.
Outlines
🤰 Introduction to Leopold's Maneuver and Fundal Height Measurement
Shantalati from Bsn2 8-3 introduces a video tutorial on performing Leopold's maneuver and measuring fundal height in pregnant women. The video begins with the preparation of necessary equipment and ensuring patient privacy. Shantalati greets the patient, verifies her identity, and explains the procedure, which involves four maneuvers to determine fetal presentation and lie. The patient is instructed to urinate and wash hands before the assessment. The video demonstrates the first maneuver, the fundal grip, to assess the fetal presentation, and shows how to measure fundal height using a tape measure. The importance of a comfortable position for the patient and avoiding supine hypotension syndrome is emphasized.
👶 Continuing Leopold's Maneuver and Patient Comfort
The video continues with the second maneuver, the umbilical grip, to determine the fetal back's location for auscultation of the fetal heart rate. The third maneuver, the pollux grip, assesses the degree of fetal head engagement. The final maneuver, the pelvic grip, confirms the findings from the second maneuver and assesses the degree of fetal head flexion. The video concludes with instructions to ensure the patient is comfortable, to wash hands, and to document any findings. The video ends with a reminder to wash hands and a light-hearted moment with laughter and applause.
Mindmap
Keywords
💡Leopold's maneuver
💡Fetal presentation
💡Fetal lie
💡Fundal height
💡Supine position
💡Supine hypotension syndrome
💡Fetal back
💡Auscultation
💡Fetal heart rate
💡Pelvic grip
💡Engagement
Highlights
Introduction to the video on performing Leopold's maneuver and measuring fundal height on a pregnant woman.
Gathering necessary equipment and ensuring patient privacy before starting the procedure.
Introducing oneself and verifying the patient's identity.
Explaining the purpose of the Leopold's maneuver to the patient.
Instructing the patient to urinate to ensure comfort during the assessment.
Demonstrating proper hand washing to prevent cross-contamination.
Positioning the patient for the assessment to avoid supine hypotension syndrome.
Performing the first maneuver to determine the fetal presentation.
Using a tape measure to identify the fundal height of the baby.
Palpating the sides of the uterus in the second maneuver to locate the fetal back.
Determining the fetal heart rate and its importance in fetal health assessment.
The third maneuver, the pollux grip, to assess the degree of fetal head engagement.
The fourth maneuver, the pelvic grip, to assess the degree of fetal head flexion.
Ensuring the patient is in a comfortable position after the assessment.
Emphasizing the importance of hand washing after the procedure.
Recording any unusual findings from the assessment for further evaluation.
Conclusion of the video with a reminder to practice proper hand hygiene.
Transcripts
[Music]
hello everyone this is shantalati from
bsn2 8-3 and for today's video i will be
showing with you how to properly done
the leopold's maneuver as well as how to
measure the funding height of a pregnant
woman so without any further ado let's
get started
before going to the patient's room make
sure to gather all the equipments that
you will be needing
provide privacy for the patient
good afternoon mom i am shantal lati
your student nurse from our lady of
fatima university
so for verification ma'am may i ask your
name and your birthday um good afternoon
mom i'm ronald cordes and my birthday is
april 20 1993. okay mom how would you
like me to address you um you can call
me rona okay mamarana so mamrana allow
me to explain the procedure that we will
be doing today so our procedure is
called the leopold's maneuver it means
it has four maneuvers or four grips and
this is important for us to know the
fetal presentation and fetal lie of the
baby inside your womb so is that okay
with you mom okay okay so before we
start our assessment um you can first
urinate on our
restroom so that there will be no
discomfort once we start our assessment
for the next one do the proper hand
washing to avoid any cross-contamination
of microorganisms
so for this case it is necessary to use
a warm water allow the pregnant woman to
lie in a supine position with slightly
knee flex and provide a small pillow and
put it on her back so that it will not
cause any supine hypotension syndrome
so mom allow me to
remove this one
and expose your belly
so for the first maneuver or fundal grip
we will be assessing for the
presentation of the baby or the fetal
light so we're going to be assessing if
it's breech or if it's a phallic you can
see that it is breech if it's round if
it's hard and if it's movable
but if it's round soft and immovable it
means it's a phallic so i will be facing
the client
and i will be forming a triangle
so you are gonna palpate right here
so observe
for the necessary findings that i said
to you earlier
okay
now i'll be using my tape measure
to identify the fondant height
measurement of the baby
so i will be using the centimeter part
so the zero line must be superior to the
symphysis pubis which is located here
and we're gonna be following the
abdominal curve so remember that it must
be the dominant hand
okay
for the next grip which is the umbilical
grip or the second maneuver we're gonna
be palpating on the sides of the uterus
now in here we're gonna be determining
the fetals back because it is important
for us to know where can we auscultate
the fetals heartbeat so are the fetal's
heart rate so it is important because we
will be placing the doppler here later
on or the fetoscope to determine the
normal heart rate of the baby which is
120 to
160. now i will be palpating right here
so observe that
my left hand will be stationary for a
while while my right hand is moving so
palpate it
from top to bottom
and vice versa my right hand will be
stationary for this time and my left
hand will be moving
again from top to bottom
you can determine the fetal's back
because it is flat has a resistance
surface and it is hard but if you
palpate any angular nodulations it means
that it is the lower extremities of the
fetus or it is the elbows and knees now
let's proceed to the third maneuver
which is the pollux grip so in here i
will be forming an l shape on my hand
which is my index finger and my thumb so
i will be placing it right above the
symphysis pubis of the patient
so i will be putting it here so we're
going to be observing here the degree
of engagement so if this moves when you
move it from side to side or when you
move it upward to lift up the head
because some other institutions do that
it means that the fetus head is not
engaged but if you move it and it's
immovable it means that it is engaged
and for the last maneuver we're gonna be
doing the pelvic grip so this is the
fourth maneuver so we're the first
second and third we are facing the
client but for the first maneuver we're
gonna be facing his foot so we're gonna
be starting here we're gonna have
approximately two inches on the inguinal
ligament so we're gonna be palpating it
downward motion so through the sides
again so this is also somehow to confirm
the second maneuver which is the
umbilical so in here we're going to be
doing or determining or assessing the
degree of flexion so we're going to be
palpating it
remember that a well flexed head
is right opposite to the fetal back
once you're done with your assessment
make sure that your patient is in a
comfortable position
don't forget also to wash your hands
and
note all any unusual findings or any
findings that you have found on your
patient
so that's it guys for today's video and
i hope to see you on my next one thank
you for watching
the next one is
the next one
the next step is do the hand washing
so is this
the next
so why is hand washing
so the next step is to avoid if we don't
wash it
so that there will be no discomfort once
we start our assessment
good afternoon
[Laughter]
asked your name and your birthday
[Laughter]
[Music]
[Laughter]
[Laughter]
i also provided the privacy for the
patient
earlier so that she will be sure
she will be sure
i will be palpating for the fetals
[Laughter]
[Music]
[Laughter]
[Music]
less than the moment
[Music]
oh
[Applause]
関連動画をさらに表示
How to do Obstetric Examination? Leopold Maneuvers | Obs-Gyne Full Course Launched
Leopold's Maneuver | Return Demonstration
How to Check Vital Signs | Checking Vitals Nursing Assessment
PREFORMING LEOPOLD'S MANEUVERS | SKILLS DEMO
BAG TECHNIQUE - COMMUNITY HEALTH NURSING(CHN) l RETURN DEMONSTRATION (student nurse)
Pemasangan NGT
5.0 / 5 (0 votes)