Vaginal Examination Flashcards

1
Q

List 10 reasons a vaginal examination may be indicated

A
  • to confirm onset of labour
  • to assess progress in labour
  • to confirm position and presentation
  • to determine cause of delay in labour
  • to confirm full dilation of the cervix
  • to perform an artificial rupture of membranes
  • to apply a fetal scalp electrode
  • to perform fetal blood sampling
  • to check for cord prolapse if SROM while presenting part is high
  • prior to instrumental birth
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2
Q

List 8 things that should be done prior to a vaginal examination

A
  • ask if the woman has had a vaginal examination before and address any concerns
  • explain need for procedure
  • explain what it entails
  • gain informed consent
  • ensure privacy
  • encourage woman to empty her bladder
  • perform an abdominal palpation
  • ensure the woman knows the procedure may be stopped at any time
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3
Q

List 6 contraindications to vaginal examination

A
  • lack of maternal consent
  • prelabour rupture of membranes
  • unknown placental position
  • placenta praevia
  • preterm labour
    ? - bleeding
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4
Q

List 5 things that are important during a vaginal examination

A
  • informed consent
  • privacy
  • dignity
  • maternal position and comfort
  • asepsis
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5
Q

List 4 things you should do after performing a vaginal examination

A
  • assist woman into comfortable position
  • auscultate the fetal heart
  • communicate findings
  • document findings
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6
Q

List 5 elements that should be assessed during a vaginal examination

A
  • external genitalia
  • cervix
  • membranes
  • position and station of presenting part
  • pelvic outlet
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