Pelvic exam Flashcards
What should you do before starting pelvic exam?
empty bladder, hx, step out for clothes change, choose warm speculum, “tell her then touch her”
What makes up the external genitalia
mons pubis, labia majora, labia minora, perineum, perianal area
How should speculum be inserted?
Insert width of blades oblique then rotate as you advance the speculum while also diving down toward cervix
What samples should be taken during pelvic exam?
exocervix and endocervix specimens for pap smear and culture any abnormal discharge
What can you do if body habitus spills through sides of speculum during exam?
Rotate and remove speculum, cut tip off condom and slide over the blades of speculum before re-entering vagina