Pap smear Flashcards

1
Q

When and whats the purpose of conducting pap smear

A

1st prenatal visit (within 6 months) for
- confirming pregnancy
- health history
- fundic height
- FHR @ 12 weeks
- PE
- lab test

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2
Q

Whats the reputation of pelvic exam

A

Painful

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3
Q

Pelvic exam is difficult to conduct to what kind of px

A

sexually assaulted px

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4
Q

Pelvic exam is conducted to determine

A

Early detection of cancer in the cervix, uterine, vulva, vagina

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5
Q

What happen during pelvic examination if muscles are tensed?

A

Procedure becomes painful and is difficult to do

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6
Q

Pelvic examination is taken at what site usually

A

Endocervix

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7
Q

Pelvic exam is characterized to be

A

Safe, invasive and cytological procedure

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8
Q

Frequency of pelvic examination

A

21-29 yrs old : 1 every 3 years
30- 65 yrs old: 1 every 5 years + HPV test

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9
Q

Yeah

A
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10
Q

Nurses role in pelvic exam

A
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11
Q

Pelvic examination is indicated to (6)

A
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12
Q

6 factors that affect the pelvic exam

A
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13
Q

Position during pelvic exam

A
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14
Q

Pattern of inserting speculum

A
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15
Q

2 techniques in collecting specimen

A
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16
Q

Presumptive Signs of Pregnancy

A
  • are least indicative
    Morning Sickness
    Amenorrhea
    Changes in breast
    Fatigue
    Lassitude
    Urinary frequency
    Quickening (@20 weeks)
17
Q

Probable Signs of Pregnancy

A
  • can be examined by HCP
    Positive Pregnancy Test
    Uterine enlargement
    Ballotement (return of fetus when pushed by a finger)
    Chadwick’s Sign (pink to purple color change of cervix, vulva & vagina
    Hegar’s Sign (softening of the lower uterine cervix)
    Outline of fetus
    Goodell’s sign (softening of the cervix)
    Souffle, Contractions
    Braxton’s Hick
18
Q

Positive Signs of Pregnancy

A
  • are confirmation of pregnancy
    Heart Tone & Rate : 10 wks (doppler), 16 wks (fetoscope), 18-20 wks (stethoscope)
    Movement that can be felt by the examiner (@20wks)