During gestation, pregnant moms should undergo various examinations to check the overall state or form of a fetus. The need to assist them is a requirement which surely demands courses of action and correct supervision. It is necessary to follow correct procedures so that their expectations are met and objectives are set. One common process that they go through is the Leopold maneuver.
This kind of procedure consists of four maneuvers to identify that the fetus is positioned correctly. This is also to check fetal presentation, lie, and attitude. This detailed examination is strictly followed and performed after twenty four weeks gestation.
Nurses are the skilled ones who can do this procedure. Being painstaking with doing the processes along with assessing the shape of female pelvis is highly needed to examine if there will be potential complications. Since their task mainly involves palpation of the uterus, they are trained well and able to identify the objectives presented in the involved processes.
The fetal outline will be undetermined if there is a distended bladder, so it has to be emptied first. For a more productive palpation, abdominal muscles should be relaxed as well that is why knees have to be flexed slightly. And to guarantee a safe course of maneuvers, the hands of clinician must be washed with warm water to avoid possible infections.
As an initial action, the nurse will stand beside the patient face the mother and palpate the upper abdomen to feel the fetal position. This portion allows the clinician to know what part occupies the fundus. Findings will show the mass which can either be the buttocks or head of the fetus. The first one is soft while the latter is round and firm.
Once there is already an assessment regarding the fetal form, the back position should be determined. Deep yet gentle pressure must be applied on each side of the abdomen. This part must be palpated gently on a circular motion using the right hand. The nurse must feel the smooth and firm fetal back.
To determine what part of fetal head is lying above the inlet, fingers and thumb should grasp the lower portion of abdomen. This part allows a clinician to feel if the presenting part is engaged or not. Findings during the first action must be validated within this process. Fetal descent must be determined in the last action through pressing fingers in both sides of uterus. Also, the best place to hear the heart tone is also identified in this stage.
There are necessary factors that pregnant moms must always remember. These have to be the rationales and objectives of the entire maneuvers. Since these should be clearly aimed and carried out appropriately, there is a need to search for the registered healthcare specialist. Seeking recommendation can be the easiest way to get information about potential clinicians. Feedback from friends and colleagues who already have experienced will be a source of help too.
Gestation is the hardest stage that a woman may experience. Making sure that the position is identified is the most significant procedure in the whole duration of carrying a baby. Nothing can ever fulfill the sense of completeness though once it is born without abnormalities and impairments. This is how important for women to undergo the requirement of following the method of this kind of clinical assessment.
This kind of procedure consists of four maneuvers to identify that the fetus is positioned correctly. This is also to check fetal presentation, lie, and attitude. This detailed examination is strictly followed and performed after twenty four weeks gestation.
Nurses are the skilled ones who can do this procedure. Being painstaking with doing the processes along with assessing the shape of female pelvis is highly needed to examine if there will be potential complications. Since their task mainly involves palpation of the uterus, they are trained well and able to identify the objectives presented in the involved processes.
The fetal outline will be undetermined if there is a distended bladder, so it has to be emptied first. For a more productive palpation, abdominal muscles should be relaxed as well that is why knees have to be flexed slightly. And to guarantee a safe course of maneuvers, the hands of clinician must be washed with warm water to avoid possible infections.
As an initial action, the nurse will stand beside the patient face the mother and palpate the upper abdomen to feel the fetal position. This portion allows the clinician to know what part occupies the fundus. Findings will show the mass which can either be the buttocks or head of the fetus. The first one is soft while the latter is round and firm.
Once there is already an assessment regarding the fetal form, the back position should be determined. Deep yet gentle pressure must be applied on each side of the abdomen. This part must be palpated gently on a circular motion using the right hand. The nurse must feel the smooth and firm fetal back.
To determine what part of fetal head is lying above the inlet, fingers and thumb should grasp the lower portion of abdomen. This part allows a clinician to feel if the presenting part is engaged or not. Findings during the first action must be validated within this process. Fetal descent must be determined in the last action through pressing fingers in both sides of uterus. Also, the best place to hear the heart tone is also identified in this stage.
There are necessary factors that pregnant moms must always remember. These have to be the rationales and objectives of the entire maneuvers. Since these should be clearly aimed and carried out appropriately, there is a need to search for the registered healthcare specialist. Seeking recommendation can be the easiest way to get information about potential clinicians. Feedback from friends and colleagues who already have experienced will be a source of help too.
Gestation is the hardest stage that a woman may experience. Making sure that the position is identified is the most significant procedure in the whole duration of carrying a baby. Nothing can ever fulfill the sense of completeness though once it is born without abnormalities and impairments. This is how important for women to undergo the requirement of following the method of this kind of clinical assessment.
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