Documente Academic
Documente Profesional
Documente Cultură
FIRST MUST: ASK IF ANY PAIN! Can palpate abdomen for – Soft, tense, tender? THEN Leopold’s maneuvers
A. Do #1 [Fundal grip] – then feel for the part/pole at the fundus [Describe: Head = “round, firm”. Breech = “Irregular, soft”]
- Measure symphysiofundal height [**Start tape measure FROM sup. bord. of PS to fundus – ie. Say “measuring
from the fixed point to the mobile point”]
- Measure SFH on inches side but report in cm [Say reason: “to eliminate bias”]
- Ask patient to put finger to mark the point of fundus while you measure
C. Mention “I will bypass Pawlik’s grip [#3]” [Must still demonstrate how you would do it AND SAY the 2 reasons: 1. Painful 2.
Gives no additional information that Leopold’s (other) maneuvers will not provide]