PREFORMING LEOPOLD'S MANEUVERS | SKILLS DEMO
Summary
TLDRIn this educational video, Nursing Prep demonstrates Leopold's maneuvers, a technique to determine the position of a baby in the womb. The process begins with ensuring patient privacy and verifying identity. The patient is then prepared by emptying her bladder and lying flat. The four-step maneuver includes feeling the top of the uterus for the baby's head or bottom, locating the baby's back, checking if the head is engaged in the pelvis, and finally, verifying the baby's position from the feet. The video assures that this method is quick, easy, and safe for both mother and baby.
Takeaways
- 🧼 Start with proper hand hygiene and ensure patient privacy.
- 🔍 Verify the patient's identity using two identifiers: their name and date of birth.
- 🤰 Explain the procedure to the patient and get consent before starting Leopold's maneuvers.
- 👐 First maneuver: Locate the baby's head or bottom by feeling the top of the uterus.
- 👈 Second maneuver: Identify the baby's back by feeling the sides of the uterus.
- 👶 Third maneuver: Check if the baby's head is engaged by attempting to lift it near the symphysis pubis.
- 🔄 Fourth maneuver: Turn around to face the patient's feet and verify the baby's position by feeling from the bottom up.
- 📊 The back's position is crucial for placing the heart rate monitor for accurate readings.
- 🤰 Ensure the patient is in a slightly reclined position with a hip wedge to facilitate the maneuvers.
- 👩⚕️ Leopold's maneuvers are a quick, non-invasive way to determine the baby's position in the uterus.
Q & A
What is the purpose of Leopold's maneuvers?
-Leopold's maneuvers are used to determine the position of the baby in the mother's womb without using any equipment.
Why is it important to wash hands and ensure patient privacy before performing Leopold's maneuvers?
-Washing hands is important for hygiene and preventing infection, while ensuring patient privacy is a fundamental aspect of patient care and respect.
How does one verify the patient's identity before starting Leopold's maneuvers?
-The patient's identity is verified by checking their name and date of birth using identification bands or electronic records.
Why should the patient empty her bladder before Leopold's maneuvers?
-Emptying the bladder ensures that the uterus is not compressed, allowing for a more accurate assessment of the baby's position.
What is the first step in performing Leopold's maneuvers?
-The first step is to feel for either the baby's head or bottom at the top of the fundus, which helps determine the presentation of the baby.
What does the baby's head feel like during the first step of Leopold's maneuvers?
-The baby's head feels big, hard, and round during the first step of Leopold's maneuvers.
How can you determine the baby's back position during the second step of Leopold's maneuvers?
-The baby's back is felt as a flat and long area on either side of the mother's abdomen, and this is where the heart rate monitor should be placed for accurate readings.
What does the third step of Leopold's maneuvers involve?
-The third step involves checking if the baby's head is engaged in the pelvis by attempting to lift it near the symphysis pubis.
What does it mean if the baby's head cannot be lifted during the third step?
-If the baby's head cannot be lifted, it indicates that the baby is engaged in the pelvis.
What is the final step in Leopold's maneuvers?
-The final step is to turn around and feel from the bottom up to verify the positioning of the baby.
Why is the correct order of the steps important in Leopold's maneuvers?
-Following the correct order ensures a systematic and comprehensive assessment of the baby's position, which is crucial for accurate prenatal care.
Outlines
🤰 Introduction to Leopold's Maneuvers
The video begins with a greeting from the host of the Nursing Prep channel and an introduction to the topic of the day, which is Leopold's maneuvers. The host emphasizes the importance of hygiene, patient privacy, and verification of the patient's identity before proceeding. The patient, Mrs. Johnson, is informed about the procedure and consents to it. The video then explains the steps for Leopold's maneuvers, which include positioning the patient, feeling for the baby's head or bottom, locating the baby's back, checking for engagement of the baby's head, and finally, verifying the baby's position from the mother's feet. The host assures that the procedure is quick, easy, and non-invasive for both the mother and the baby.
Mindmap
Keywords
💡Leopold's Maneuvers
💡Nursing Prep
💡Patient Privacy
💡Identify Errs
💡Fundus
💡Fetal Position
💡Engagement
💡Heart Rate Monitor
💡Hip Wedge
💡Symphysis Pubis
Highlights
Introduction to Leopold's maneuvers for determining the position of the baby in the womb.
Importance of hand hygiene and patient privacy in medical procedures.
Verification of patient identity using two identifiers: name and date of birth.
Explanation of the procedure to the patient and obtaining consent.
Ensuring the patient's bladder is empty and positioning her for the maneuvers.
Description of the first maneuver: feeling for the baby's head or bottom at the top of the fundus.
Differentiating between the hard, round head and the squishy, small bottom of the baby.
Second maneuver: locating the baby's back by feeling the sides of the uterus.
Significance of the baby's back position for accurate heart rate monitoring.
Third maneuver: checking if the baby's head is engaged in the pelvis.
Technique for assessing fetal engagement using an 'L' shape with fingers.
Fourth and final maneuver: verifying the baby's position by feeling from the bottom up.
Instructions on covering the patient after completing the maneuvers.
Placement of the heart rate monitor for fetal monitoring.
Emphasis on the simplicity and non-invasiveness of Leopold's maneuvers.
Advice on ensuring the patient is in the correct position and the maneuvers are performed in sequence.
Conclusion and invitation for questions or comments from viewers.
Transcripts
hi everybody I am that nursing prep and
welcome to my channel in today's video
we're gonna do leopold's maneuvers just
like everything else we're gonna wash
our hands provide patient privacy and
then verify our patient using to
identify errs name and date of birth
they were going to explain to our
patient that we're going to be doing
Leopold's maneuvers mrs. Johnson I'm
going to be doing Leopold's maneuvers
which means I'm going to be placing my
hands on your stomach to figure out the
position of the baby is that okay yes
that's fine
all right let's do it you verified your
patient you made sure she's emptied her
bladder and you've gotten her into a
flat position with maybe a little hip
wedge underneath so she's not perfectly
flat now we can do
Leopold's maneuvers the first maneuver
you're going to take your hands and make
like a little triangle right you're
going to be facing mom's face and you're
gonna be feeling the top of the fundus
okay so feeling for either baby's head
or baby's bottom a head feels big and
hard and round and their little booty
feels like squishy and tiny so what do
we feel first that's the first step
the second step now we're going to be
looking for baby's back so we're going
to take our hands we're gonna place them
on the sides so one hand here supporting
the other hand kind of feeling the side
feeling for the back then we'll do the
opposite side feeling for the back the
back should feel flat and long so what
side is the back on this is important to
know because this is where we're going
to place the heart rate monitor on
baby's back on the side where baby's
bacchus that's when we're gonna get the
most accurate heart rate tracing so
that's step 2 putting your hands on each
side and looking for the back
now step three we're going to see if
it's engaged so if the head is down is
the head engaged in the pelvis we're
gonna make an L with our fingers and
then we're gonna go down here close to
the symphysis pubis and we're gonna see
if we can lift baby's head up if we
cannot lift baby's head up that means
baby is engaged if we can and we can
kind of move it around then baby is not
engaged
and then the final fourth step of
Leopold's maneuvers is we're going to
actually turn around so we've been
facing mom this whole time now we're
going to be looking at mom's feet okay
and then we're going to take our hands
and then we're gonna kind of go all the
way back so we're gonna start from the
bottom and just kind of feel up like
this verifying positioning of the baby
now we can cover mama it was that quick
and easy we can get the heart monitor on
her so we can listen the baby's heart
rate and we're good to go so that was my
video on how to do Leopold's manoeuvres
pretty simple it doesn't hurt mom it
doesn't hurt baby it doesn't take long
you just need to make sure that mom has
emptied her bladder
she's in the right position and that you
are doing in the four steps in the
correct order I hope this video was
helpful and if you have any questions or
comments please let me know if not I'll
see you on the next one
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