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Checklist Vaginal Examination

The document outlines the procedure for performing a vaginal examination, including preparation, implementation, and aftercare. It details the steps for assessing cervical readiness for labor, fetal position, and monitoring the patient's condition throughout the process. Proper hygiene, patient privacy, and thorough documentation are emphasized as essential components of the procedure.

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palaoangelicprincess
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24 views2 pages

Checklist Vaginal Examination

The document outlines the procedure for performing a vaginal examination, including preparation, implementation, and aftercare. It details the steps for assessing cervical readiness for labor, fetal position, and monitoring the patient's condition throughout the process. Proper hygiene, patient privacy, and thorough documentation are emphasized as essential components of the procedure.

Uploaded by

palaoangelicprincess
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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*€t. CY?tfuhEEl'r r{o11
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@ vJ'-,
College of Nursing
ttrgan City
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L Name: Block:
Clinical lnstructor: Date:_
L
Vaginal Examination
Caneept:
t
L Puryose:

L Performod
Preparation Rationale
Yae IUrr
1. Assessment
i_ . Check doc{or's orders
. Assess client status and plan to
meet individual dient need.
L . Determine cervical readiness for
labor, fetal position and presentation

t .
as well as degree of descent
Determine extent of cervical
effacement and dilatation
. Assess for abnormal vaginal
L tiieetiirig ariti ariiriioiiE iiuiri staius
. Monitor frequency, duration and
intensity of pain in each stage of
I
L- labor
Z. Planningr
. Wash your hands
L . Assemble allthe
materials/equiprnent needed as weli
special items related to individual
L
I
needs
Materials:

t
I

t_
a

. Choose the appropriate location in


t 3.
performino the procedure
lmplementation
. Ex$ain procedure to the dient and
t .
provide privacy.
Askthe woman to tum unto back
t

t with knees flexed (dorsal recumbent


posiiion).
I
Repeat hand washing and put on
L steilie examining gloves.
Discard one drop of clean
lubricating solution and drop an
L ample supply on tips of oloved
fingers.
Pour antiseptic solution over vulva
using the non-dominant hand
Place non dominant hand on the
outer edges of the \uoman's vulva
**J L-- ...!-.r
ailu sPlirau
----*J ilct l-L:- _
tapta waliiE
inspec*ing the external genitalia for
lesions. Look for red, initated
mucous membranes, open,
ulcerated sores, clustered and
pinpoint vesicles.
. Look for escaping fluid or presence
of umbilical cord or bleeding.
. lf there is no bleeding or cord
visible, introduce your pointer and
middle fingers of dominant hand
nen*ht inla lha rranina
rsvr.i-, r{irar*finn
-,ivvaiiiii
them toward the posterior vaginal
wall.
. Touch the cervix with your gloved
examining fingers.
A. palpate for cervical consistency
anci rate if firm or son
o $. measure the extent of dilatation;
palpate for an anterior rim or lip of
cervix.
. Estimate the degree of effacement
and if membraner are intaet
. Locate the ischial spines. Rate the
s,:tation of the presenting part and
identify the presenting part.
. Establish the fetal positioning.
. \l/ithdraw your hand slowly and wipe
the perineum front io back io
remove secretions or examining
solution.
. Leave client comfortable.

. De after eare and document the


procedure done induding the time,
feelings and condition after
performing the procedure.
. Evaluate patient's condition, noting
for signs of fatigue or other adverse
responses.
. Document findinos as

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