Vaginal Examination Flashcards

1
Q

1

A

Introduce yourself, explain procedure, gain consent

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2
Q

2

A

Ensure woman is in appropriate position and on flat surface, remove underwear, maintain dignity with a sheet,

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3
Q

3

A

Ensure she has emptied her bladder

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4
Q

4

A

State you would perform abdominal palpation prior to vaginal examination

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5
Q

5

A

Place disposable sheet under buttocks

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6
Q

6

A

Wash hands, put in gloves and lubricant

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7
Q

7

A

Look for external genitalia

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8
Q

8

A

Insert middle and index fingers

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9
Q

9

A
Locate cervix
Determine:
Cervix position (central)
Dilation (5cm)
Consistency (soft)
Length of cervical canal (1cm) (effaced)
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10
Q

10

A

Enter the os

Determine:
Position of fetal head (ROL)
Presentation (cephalic)
Station of presenting part (0)- at ischial spines
Membrane (in tact)
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11
Q

12

A

Withdraw fingers and cover woman

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12
Q

13

A

Dispose gloves and wash hands

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13
Q

13

A

Auscultate fetal heart (140BPM)
Palpate mothers pulse (80 BPM)
(Different)

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14
Q

14

A

Record and report findings
Document on partogram
Ensure she is comfortable

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