Beruflich Dokumente
Kultur Dokumente
*Chart
number: 49/13.
*G: 2
*P: 1
**Palpation findings:
(1)Step 1 (Fundal palpation ):Face the client head , curve my palmer surface of the
both hands , my hands are placed on her abdomen below
the xiphisternum ,and moved gentle down ward until the
firmness of fundus is felt, when I palpation her abdomen
(fundus),I found it soft ,less firm, irregular, large ,bulkier,
(2)Step 2 (Lateral Palpation ):In this step , the aim is identify the fetal position &
confirm lie.
The first--- I put my hand on the right side of abdomen
and other hand put on left side to support the right
side , when I palpate the right side I found it smooth,
firm, uniformly resistant ,convex ---(Back).
Then --- I put my hand on the left side of abdomen and
other hand put on right side to support the left side ,
when I palpate the left side I found it small, irregular
placed , knobby resistances, passive movement---(Limps).
**Combined pawlik grip:This step to compare the upper and lower poles of the
fetus at the same time.
I grasp the presenting part in one hand and grasp the
fundus in the same with the other hand , I found the fetus
butokes on the fundus and the fetus head on the
symphasis bubis.
(4)Step 4 (pelvic palpation):Using both hands , one either side of the presentation(
finers facing toward the women feet ) press in gently .
The head cant felt easily ,and it can movable between
the fingures , I assurance that the presenting is vertex
,the fetus is pelvic , the presenting part is engaged and
movable between my hand .
**Fundal height:-
Risk
scor
e
GA
23High 16
12Risk wk
2014
+6
dy
24-1- High 21
2015 Risk wk
+3
dy
24-2- High 25
2015 Risk wk
+6
dy
25-3- High 30
2015 Risk wk
W(k BP
g)
presentati Feta
on
l
hea
rt
Yes
82
120/
71
82
128/
80
No
No
21
Yes
85
126/
79
No
No
25
Yes
85,
5
118/
61
No
No
30
Cephalic
Yes