PELVIC EXAMINATION

Sep 6, 2008

PELVIC EXAMINATION OF THE EXTERNAL GENETALIA- is an inspectionof the external genitalia for any bleeding, swelling, inflammation, lesions, discharges and local skin or epithelial changes .

PELVIC EXAMINATION OF THE INTERNAL GENETALIA :
1. Inspection of speculum - to enable the gynecologist to visualize the cevrix
* Smaller speculum is used for young virgin or not be used at all as much as possible and observe or inspect the the appearance of vaginal tissue and the nature of the cervix

2Bimanual examination is an insertion of 1 or 2 gloved fingers of the left hand in the vagina while the right hand palpating the fundus so that the uterus and the adnexa are further reach by fingers and be examined by the gynecologist

3. Rectal examination is made by the gynecologist by inserting his gloved fingers to detect abnormalities in the contour motility and placement of adjacent structure of tissue

NURSING RESPONSIBILITIES:

  • explain to the patient about the examination to be done to her
  • assist the doctor and focus the light
  • after examination, wipe perineum from excess jelly and dischargest and removed legs from stirrup
  • advise patient to sit first a minute or two minutes to take the opportunity to ask question and ask the nurse to explain further what have doctor said to her

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