Abdominal Palpations Flashcards
1
Q
1
A
Wash hands
2
Q
2
A
Introduce yourself and explain the procedure
3
Q
3
A
Gain consent Check for: Emptied bladder Heart flat surface Semi-recumbent Your right to her right
4
Q
4
A
Close curtains
Expose abdomen whilst maintaining patient dignity
5
Q
5
A
General inspection of the fundus Look for: Fetal movements Shape Size Skin changes
6
Q
6
A
Fundal height measurement
Paper tape measure (0, disposable, non elastic)
Turn away (non biased)
7
Q
7
A
Place the paper tape measure face down from the top of the fundus to the symphysis pubis
Throw away
8
Q
8
A
Lateral palpations
9
Q
9
A
One hand placed on one side of the uterus, the other uses the flats of the finger tips to identify what is found on the opposite side Feel for Lie Presentation Position
10
Q
10
A
Pelvic palpation
11
Q
11
A
One hand either side of the presentation and pressure applied Look for
Position
Engagement (5ths palpable)
12
Q
12
A
Auscultation
Anterior shoulder
13
Q
13
A
Pinard/Doppler
Check maternal pulse (different?)
14
Q
14
A
Report back your findings
Document
Wash hands
Comfortable?
