Before placing the fetal monitoring device on a primigravid client’s fundus, the nurse performs Leopold’s maneuvers

Before placing the fetal monitoring device on a primigravid client’s fundus, the nurse performs Leopold’s maneuvers. When performing the third maneuver, the nurse explains that this maneuver is done for which of the following reasons?

1. To determine whether the fetal presenting part is engaged.

2. To locate the fetal cephalic prominence.

3. To distinguish between a breech and a cephalic presentation.

4. To locate the position of the fetal arms and legs.

Answer:- The correct option is 3. To distinguish between a breech and a cephalic presentation.

The third maneuver by Leopold’s is done to identify the presenting part of the fetus. This maneuver distinguishes if the presenting part is head or buttocks.

The third Leopold’s maneuver is performed as the nurse places their hands on each side of the uterine fundus and gently press inwards. As the nurse applies pressure, she will realize that her hand is sinking deeply into a hard head.

However, if the presenting part is irregular, soft and less ballot table indicates a breech presentation. Palpation will not reveal a hard, round structure for the nurse. Instead, they may have softer less sharp body parts such as the buttocks or feet. By assessing the fetal presenting part’s characteristics, this maneuver clearly differentiates between a cephalic and breech presentation.

In addition, it is very important to determine whether the presentation and plan care are designed before placing fetal monitor. Knowing if the fetus is head down or breech helps in proper position of the monitor. It also suggests whether the client may undergo a cesarean delivery or version for breech baby. Therefore, the third Leopold’s maneuver gives crucial information regarding fetal position in order to ensure safe care.