Palpate the uterus to determine the fetal orientation. It will be vertical, transverse lie, or oblique.
Then determine whether the bony fetal arms and legs are to the left or right side. The smooth back is on the opposite side.
Make a “V” with your hand and press in just over the symphysis. Rocking you hand back and forth reveals either a firm head, or soft breech.
Coming down from above, feel whether the occipital prominence is on the right or the left side.