Vaginal Examinations Flashcards

1
Q

List TEN reasons that a vaginal examination should be undertaken

A
  • To confirm the onset of labour
  • To assess the progress during labour
  • To identify position and presentation
  • To perform an artificial rupture of the membranes
  • To apply fetal scalp electrodes
  • Undertake fetal blood sampling
  • To determine cause of delay in labour
  • Confirm full dilation of the cervix
  • Prior to an instrumental delivery
  • Exclude cord prolapse if SRM with high presenting part
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2
Q

List SIX indications that a vaginal examination should NOT be undertaken

A
  • No maternal consent
  • Maternal distress
  • In presence of bleeding
  • Where there is known placenta praevia
  • Premature rupture of membranes
  • Premature birth (initial VE should be undertaken by obstetrician)
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3
Q

List FIVE points to consider before and during a vaginal examination

A
  • Informed consent
  • Privacy / dignity
  • Full or empty bladder
  • Position and comfort of the woman
  • Asepsis
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4
Q

List SIX things that should be done prior to undertaking a vaginal examination

A
  • Explanation to the women of what you are doing and why
  • Gain consent
  • Ensure privacy
  • Wait for the woman to empty her bladder
  • Always do an abdominal examination before
  • Listen to the fetal heart
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5
Q

Describe the cervix before the start of labour

A

Usually in a central or posterior position, firm and non-effaced with the cervical os tightly closed

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6
Q

Describe the cervix in early labour

A

Structure and position changes, moving in to a more anterior position and feeling less rigid

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7
Q

What FOUR things should you do after undertaking a vaginal examination?

A
  • Ensure the woman’s comfort and dignity
  • Auscultate the fetal heart
  • Inform the woman of what you have found
  • Document findings
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