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?
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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…