Case
Active Learning Template:Nursing Skill-Leopold Manuever
- Course
- NURS 340
- Institution
- West Coast University
Active Learning Template:Nursing Skill-Leopold Manuever
[Show more]
Content preview
ACTIVE LEARNING TEMPLATE: Nursing SkillSTUDENT NAME SKILL NAMEFetal Assessment during Labor: Leopold Maneuver REVIEW MODULE CHAPTER 13 Potential Complications
-Not able to determine fetal attitude.
-Not able to auscultate FHR after manuevers.Nursing Interventions
-Identify the fetal part occupying the fundus. The head should feel round, firm, and move freely. The breech should feel irregular and soft. This maneuver identifies the fetal lie (longitudinal or transverse) and presenting part (cephalic or breech)..-Face the client's feet and outline the fetal head using the palmar surface of the fingertips on both hands to palpate the cephalic prominence. If the cephalic prominence is on the same side as the small parts, the head is flexed with vertex presentation. If the cephalic prominence is on the same side as the back, the head is extended with a face presentation. This maneuver identifies the fetal attitude.Description of Skill
Leopold maneuvers consist of performing external palpations of the maternal uterus through the abdominal wall to determine the following.Number of fetuses, presenting part, fetal lie, and fetal attitude, degree of descent of the presenting part into the pelvis, location of the fetus's back to assess for fetal hearttones.
Indications
- To determine the fetal lie and presenting part.
Outcomes/Evaluation
Locate and palpate the smooth contour of the fetal back using the palm of one hand and the irregular small parts of the hands, feet, and elbows using the palm of the other hand. This maneuver validates the presenting part.Client Education
Ask the client to empty her bladder before beginning the assessment.
Place the client in the supine position with a pillow under her head, and have her knees slightly flexed. Place a small, rolled towel under the client ’s right or left hip to displace the uterus off the major blood vessels to prevent supine hypotensive syndrome.Nursing Interventions (pre, intra, post)
Auscultate the FHR post-maneuvers to assess the fetal tolerance to the procedure. Document the findings from the maneuversCONSIDERATIONS
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Academictutor. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $4.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
62890 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now