Leopold's maneuvers

Question 1

First…which way is the examiner facing and where are the examiner’s hands

Answer 1

Facing maternal head

Fingers of both hands curved around the fundus.

Question 2

First…..Which fetal part is in the fundus if something round and firm is in the fundus

Answer 2

head…which means the fetal breech is presenting

Question 3

First….Which fetal part is in the fundus if I wiggle a small, firm object in the fundus and it causes the whole body to move,,,

Answer 3

could be the baby’s behind…which means the head is presenting

Question 4

First….which fetal part is in the fundus if nothing is in the fundus

Answer 4

fetus is likely lying transversely in the maternal abdomen

Question 5

Second…..Which way is the examiner facing and where are the examiner’s hands

Answer 5

Facing maternal head

Right hand on one side of the abdomen to stabilize and find either back or small parts on the opposite side with left hand then switch hands

Question 6

Second….Where is the back

Answer 6

if the smooth part is on the maternal left and the small parts on the maternal right, the fetus is likely to be lying longitudinally in the maternal abdomen

Question 7

Third…..which way is the examiner facing and were are the examiner’s hands

Answer 7

Facing maternal head

C-shaped grip with hand above symphysis to grasp presenting part and determine if its hard or soft, moveable or not

Question 8

Third….Which part is presenting if the presenting fetal part is firm, round and moves side to side without moving the whole fetal body

Answer 8

it probably the head….not engaged

Question 9

Third….if I can’t get my hand between the presenting part and the brim of the maternal pelvis

Answer 9

The presenting part is probaply engaged.

Question 10

Fourth….which way is the examiner facing and were are the hands

Answer 10

Facing maternal feet

Both hands on lower, lateral abdomen, with fingers pointed down into the pelvis

Question 11

Fourth….Is the presenting part engaged…

which side is the cephalic prominence at

If the presenting part is the head, is the head flexed

Answer 11

If one of my hands runs into a prominence on the presenting fetal head, the fetal head might be extended (which will hopefully correct itself before labor)