PRESENTATION ON-vaginal examination.ppt
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About This Presentation
A vaginal examination (VE) is an extremely intimate examination which is performed regularly and accepted as a routine procedure by midwives during labour. 1,2 A VE can be performed digitally, or by using instruments such as a speculum.
Slide Content
PRESENTATION
ON-
VAGINAL
EXAMINATION
PRESENTED BY-
DR.ANJALATCHI MUTHUKUMARAN
VICE PRINCIPAL
ERA COLLEGE OF NURSING
ON-
VAGINAL
EXAMINATION
PRESENTED BY-
DR.ANJALATCHI MUTHUKUMARAN
VICE PRINCIPAL
ERA COLLEGE OF NURSING
CONTENT
Introduction
Definition
Purpose
Indication
Types of vaginal examination
Role of nurse
Procedure
Summary
Conclusion
Bibliograpgy
Introduction
Definition
Purpose
Indication
Types of vaginal examination
Role of nurse
Procedure
Summary
Conclusion
Bibliograpgy
INTRODUCTION
A vaginal examination is an essential part of midwifery
care, and is routinely performed when assessing the
progress of labour.
A vaginal examination is an essential part of midwifery
care, and is routinely performed when assessing the
progress of labour.
DEFINITION
A vaginal examination in labour is a systematic
examination to assess the status of vagina, vulva,
cervix, membranes, presenting part of pelvis.
A vaginal examination in labour is a systematic
examination to assess the status of vagina, vulva,
cervix, membranes, presenting part of pelvis.
PURPOSE
To assess the progress and delay of labour.
To assess the condition of the vulva, vagina, and cervix.
If you are experiencing gynecological symptoms such
sa pelvic pain, unusual vaginal discharge or urinary
problems.
To assess the progress and delay of labour.
To assess the condition of the vulva, vagina, and cervix.
If you are experiencing gynecological symptoms such
sa pelvic pain, unusual vaginal discharge or urinary
problems.
INDICATION
To check the health of the reproductive organs and
diagnose any problem.
To cheak for vaginal infection or STD (Sexually
transmitted disease.
Determine pregnancy or miscarriage.
Screen for cervical cancer, which can be treated and
cured if found early.
To check the health of the reproductive organs and
diagnose any problem.
To cheak for vaginal infection or STD (Sexually
transmitted disease.
Determine pregnancy or miscarriage.
Screen for cervical cancer, which can be treated and
cured if found early.
TYPES OF VAGINAL
EXAMINATION
Digit
al
Speculum
EXAMINATION
Digit
al
Speculum
DIGITAL VAGINAL
EXAMINATION
In the digital vaginal examination we will insert two
lubricated, gloved finger into vagina with one hand
while the outside of your lower abdominal.
During this part of the exam, we will check the size and
shape of your uterus and ovaries, noting any tender
areas or unusual growths.
EXAMINATION
In the digital vaginal examination we will insert two
lubricated, gloved finger into vagina with one hand
while the outside of your lower abdominal.
During this part of the exam, we will check the size and
shape of your uterus and ovaries, noting any tender
areas or unusual growths.
SPECULUM VAGINAL
EXAMINATION
In the speculum vaginal examination, a device called a
speculum will be inserted into the vagina.
The speculum is opend to widen the vagina so that the
vagina and cervix can seen.Perform a Pap smear(we
will use a plastic spatula and small brush to take a
sample of cells from the cervix).
EXAMINATION
In the speculum vaginal examination, a device called a
speculum will be inserted into the vagina.
The speculum is opend to widen the vagina so that the
vagina and cervix can seen.Perform a Pap smear(we
will use a plastic spatula and small brush to take a
sample of cells from the cervix).
ROLE OF NURSE
Preparation of patient.
Preparation of
environment.
Preparation of articales.
After care.
Record and report
Preparation of patient.
Preparation of
environment.
Preparation of articales.
After care.
Record and report
PREPARATION OF PATIENT
Ensure that you have the currect patient for procedure.
Introduce yourself be polite and explain procedure.
Ask patient for consent.
If patient allows then start.
Ensure that you have the currect patient for procedure.
Introduce yourself be polite and explain procedure.
Ask patient for consent.
If patient allows then start.
PREPARATION OF
ENVIRONMENT
Close all doors and window of the
patient side.
Place screen to maintain privacy.
ENVIRONMENT
Close all doors and window of the
patient side.
Place screen to maintain privacy.
PREPARATION OF ARTICLES
ARTICLES
A screen.
A mackintosh.
A kidney tray.
Paper bag.
RATIONALE
To provide privacy and
comfort to the patient.
To prevent soiling of the
bed.
To collect wet waste.
To collect dry waste
ARTICLES
A screen.
A mackintosh.
A kidney tray.
Paper bag.
RATIONALE
To provide privacy and
comfort to the patient.
To prevent soiling of the
bed.
To collect wet waste.
To collect dry waste
ARTTICLES
ARTICLE
A pair of gloves.
Cap
A plastic apron.
Mask
Shoe cover.
Vaginal speculum
RATIONALE
To maintain aseptic
techniue.
For protection of head.
For protection of body.
Respiratory proction.
Protection of foot.
To widen of vagina
ARTICLE
A pair of gloves.
Cap
A plastic apron.
Mask
Shoe cover.
Vaginal speculum
RATIONALE
To maintain aseptic
techniue.
For protection of head.
For protection of body.
Respiratory proction.
Protection of foot.
To widen of vagina
ARTICLES
Lignocaine jelly.
Drowsheet sterile.
Betadine solution.
Gynaepad
Sterile spange holding
forcep
Cotton swab.
For lubrication of skin.
To cover perineal area.
To clean perineal area.
To provent from vaginal discharge.
To hold swab for cleanig the
periniaum.
To clean the perineal.
Lignocaine jelly.
Drowsheet sterile.
Betadine solution.
Gynaepad
Sterile spange holding
forcep
Cotton swab.
For lubrication of skin.
To cover perineal area.
To clean perineal area.
To provent from vaginal discharge.
To hold swab for cleanig the
periniaum.
To clean the perineal.
ARTICLES
PROCEDURE
CHECK LIST
SUMMARY
In the vaginal examination we will insert two
lubricated, goves fingers into the vagina with one
hand, while the other hand presses gently on the
outside of your lower abdomen. During this part of
exam, we will check the size and shape of your uterus
and ovaries, noting any tender area or unusual
growths.
In the vaginal examination we will insert two
lubricated, goves fingers into the vagina with one
hand, while the other hand presses gently on the
outside of your lower abdomen. During this part of
exam, we will check the size and shape of your uterus
and ovaries, noting any tender area or unusual
growths.
CONCLUSION
Vginal examination may need to be performed in a
number of different clinical scenarios including
unexplained pelvic pain, irregular vaginal bleeding,
abnormal vaginal discharge and as part of the
assessment of a pelvic mass.
Vginal examination may need to be performed in a
number of different clinical scenarios including
unexplained pelvic pain, irregular vaginal bleeding,
abnormal vaginal discharge and as part of the
assessment of a pelvic mass.
BIBLIOGRAPHY
Essential of D.C Dutta A text book of of obstetrics edition 9
th
published by
jaypee brothers.
Sandeep kaure a text book of midwifery and obstetrical nursing edition
1
st
published by Dr Sunita Lawrence.
Kamini Rao the text book of midwifery and obstetrical nursing published
by Esevier.
https\\www mobile slide share.com.
https\\www.slideshere.net.
Essential of D.C Dutta A text book of of obstetrics edition 9
th
published by
jaypee brothers.
Sandeep kaure a text book of midwifery and obstetrical nursing edition
1
st
published by Dr Sunita Lawrence.
Kamini Rao the text book of midwifery and obstetrical nursing published
by Esevier.
https\\www mobile slide share.com.
https\\www.slideshere.net.
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