(1) The purpose of this evaluation is to assess the ability of the uterus to dilate the cervix, help in determining the progress of labor, help to detect abnormalities of uterine contractions (such as lack of uterine relaxation), and help to evaluate any signs of fetal distress.
(2) This evaluation will help you in identifying the frequency (how often in minutes contractions occur), intensity (strength of contractions when palpitations are identified as mild, moderate, or strong [severe]), and duration (how long the contractions lasts in seconds).
(3) When palpating for contractions, place your hand over the fundal area of the patient’s uterus. Contractions can be felt by your fingers before the patient actually becomes aware of them. See figure 2-3 for patient experiencing contractions.