Abdominal Palpation for Fetal Position. Purpose. Determine the position of the baby in utero Determine the expected presentation during labor and delivery . Questions to ask yourself when performing the exam:. Is the fundal height consistent with the fetal maturity?
Acromion AC or Scapula SC
Posterior (OP) Lateral (LOL)
extended straight up over
Adapted from Mosby’s Guide to Physical Exam, 6th Ed., Ch. 17
If the doctor is R handed, stand at the woman’s R side facing her for the first 3 steps, then turn and face her feet for the last step (L handed, left side).
fundus with both hands
Determine position of the back.
Once you’ve located the back…
Start building a mental image.
Where’s the baby?
Determine what part is lying
above the inlet.
(opposite of what’s in the fundus)
Proceed to the 4th step if it’s not engaged…