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NR-NUR121 | Mother and Child Nursing (MCN) > [8] PRELIMS | VAGINAL/BIMANUAL/INTERNAL EXAMINATION > Flashcards

[8] PRELIMS | VAGINAL/BIMANUAL/INTERNAL EXAMINATION Flashcards

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1
Q

Includes a complete physical examination of a woman’s external and internal reproductive organs by a health professional

A

VAGINAL EXAMINATION

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2
Q

VAGINAL EXAMINATION

  1. ____
  2. ____
A
  1. External examination
  2. Internal examination
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3
Q

Check for vulva and vaginal opening

A

EXTERNAL GENITAL EXAM

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4
Q

EXTERNAL GENITAL EXAM

Check for ____ and ____

A

Check for vulva and vaginal opening

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5
Q
  • Health professional gently inserts the speculum into vagina
  • Speculum gently spreads apart the vaginal walls, allowing the inside of the vagina and the cervix to be examined
A

INTERNAL EXAM

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6
Q

INTERNAL EXAM

  • Health professional gently inserts the ____ into vagina
  • Speculum gently spreads apart the vaginal walls, allowing the ____ to be examined
A
  • Health professional gently inserts the speculum into vagina
  • Speculum gently spreads apart the vaginal walls, allowing the inside of the vagina and the cervix to be examined
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7
Q
  • Health professional inserts one or two gloved fingers of one hand into vagina while placing the other hand on woman’s lower abdomen
  • By pressing down on the abdomen and moving the fingers around inside the vagina, the examiner can locate and determine the size, shape, and consistency of the uterus, ovaries, and fallopian tubes
A

BIMANUAL EXAM

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8
Q

BIMANUAL EXAM

  • Health professional inserts ____ of one hand ____ while placing the other hand on ____
  • By pressing down on the abdomen and moving the fingers around inside the vagina, the examiner can locate and determine the size, shape, and consistency of the ____
A
  • Health professional inserts one or two gloved fingers of one hand into vagina while placing the other hand on woman’s lower abdomen
  • By pressing down on the abdomen and moving the fingers around inside the vagina, the examiner can locate and determine the size, shape, and consistency of the uterus, ovaries, and fallopian tubes
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9
Q

INTERNAL EXAMINATION PURPOSE

To determine the extent of ____

A

To determine the extent of cervical effacement and dilation

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10
Q

The gradual opening of the cervix measured in centimeters from 0 to cms

A

Dilation

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11
Q

“Ripening of cervix” or cervical thinning

A

Effacement

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12
Q

When the cervix has dilated to ____, the mother has an uncontrollable urge to push

A

When the cervix has dilated to 10 cm, the mother has an uncontrollable urge to push

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13
Q

INTERNAL EXAMINATION PURPOSE

To confirm the: ____

A

To confirm the: fetal presentation, position, degree of descent

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14
Q

Refers to the part of the fetus that lies closest to or has entered the true pelvis

A

FETAL PRESENTATION

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15
Q

Fetal Presentation (6)

A
  1. Vertex (ideal)
  2. Face / brow
  3. Shoulder / transverse
  4. Frank breech
  5. Complete breech
  6. Incomplete / footling breech
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15
Q

Refers to whether the fetus is facing backward (occiput anterior) or forward (occiput posterior)

A

FETAL POSITION

16
Q

Fetal Position (9)

A
  1. LOA
  2. LOT
  3. LOP
  4. LMA
  5. LMT
  6. LMP
  7. LSA
  8. LST
  9. LSP
17
Q

Refers to how far the baby’s head has descended into the cervix

A

FETAL DESCENT (STATION)

18
Q

Ranges of Fetal Descent (Station)

A

-5 to +5

19
Q

INTERNAL EXAMINATION PURPOSE

Determine station of ____

A

Determine station of presenting part and membrane status (intact or ruptured)

20
Q

Station is 0 when the fetal vertex is at the level of the ____

A

Station is 0 when the fetal vertex is at the level of the ischial spines

21
Q

Pregnancy problem where the placenta covers the cervix, causing bleeding

A

PLACENTA PREVIA

22
Q

Degrees of Placenta Previa

A
  1. Low Implantation
  2. Partial Placenta Previa
  3. Total Placenta Previa
23
Q

INTERNAL EXAMINATION

  1. ____
  2. ____
  3. ____
  4. ____
  5. ____
  6. ____
  7. ____
A
  1. Cervical Consistency
  2. Dilatation
  3. Effacement
  4. Membranes
  5. Station
  6. Fetal presentation
  7. Fetal position

NR-NUR121 | Mother and Child Nursing (MCN) (21 decks)

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