What is the first Leopold maneuver aimed at assessing?

The first Leopold maneuver is designed to assess the fundus of the uterus. By palpating the fundus, the examiner can determine which part of the fetus is positioned at the top of the uterus, as the fundus is the uppermost rounded portion. This initial assessment helps in identifying the fetal presentation (i.e., whether the head or breech is positioned upward), which is crucial for planning the next steps in labor management and delivery. Understanding the fetal position can also provide insights into the overall engagement and alignment of the fetus in relation to the pelvis, ultimately impacting labor progression. Hence, palpating the fundus is foundational in the assessment process during pregnancy.