Women's Health Exam Flashcards
What are two main chief complaint categories for women’s health exams
GU
Breast
What are HPI for women’s health exam
Menarche - age - LMP - length - cycle - change - look and smell sex - partners - type - preference - contraceptive
What is gravidity
of times for pregnancy
What is parity
of deliveries
OB history
live births
premature births
abortion/miscarriage
preg comps
What are parts of women’s health exam
external
speculum
bimanual
testing
How prep patient for women’s health exam
patient flat on bed with feet in stirrups
slide to edge of bed and relax legs
What occurs during external exam in women’s health
external genitalia exam for abnormalities
inguinal lymph nodes
What occurs during speculum exam in women’s health
moisten and warm speculum insert at downward angle open speculum to view cervix do pap test on cervix inspect vaginal walls while removing speculum
What is important for pap test
no vaginal insertion 24 hrs prior test cells from endocervix and ectocervix - paddle - cervical brush - broom
What is a wet prep used for in a women’s health exam
obtain sample of vaginal discharge
How do test for gonorrhea/chlamydia
probe in cervical os for 10 secs
urine test with first catch
What is bimanual exam
index and middle finger in vagina palpate cervix and move it - PID and ectopic pregnancy palpate with hand on abdomen - uterus - ovaries (hard to feel)
What is done for inspection with breast exam
arms at sides
hands on hips
arms overhead
What is palpation for breast exam
supine position with arms overhead
palpate with light, medium, firm pressure all over breast
- indent nipple and feel below nipple
axillary lymph nodes
