Maternity Nursing Q 103
You want to perform a pelvic examination on one of your pregnant clients. You prepare your client for the procedure by:
A. Asking her to void.
B. Taking her vital signs and recording the readings.
C. Giving the client perineal care.
D. Doing a vaginal prep.
Correct Answer: A. Asking her to void.
A pelvic examination includes abdominal palpation. If the pregnant woman has a full bladder, the manipulation may cause discomfort and accidental urination because of the pressure applied during the abdominal palpation. Also, a full bladder can impede the accuracy of the examination because the bladder (which is located in front of the uterus) can block the uterus.
Option B: A pelvic exam is a procedure followed by the physician to examine the vaginal area and the adjoining regions of the pelvis. General anesthesia is usually given prior to the pelvic exam. Also, the vaginal fluids may be collected during a pelvic exam to check for any infections. The vulva, uterus, cervix, ovaries, bladder, or even rectum is checked when a pregnant woman undergoes a pelvic exam.
Option C: Because the pelvic organs, including the uterus and ovaries, can’t be seen from outside the body, the doctor needs to feel (palpate) the abdomen and pelvis for this part of the exam. The doctor will insert two lubricated, gloved fingers into the vagina with one hand, while the other hand presses gently on the outside of the lower abdomen.
Option D: During this part of the exam, the doctor will check the size and shape of the uterus and ovaries, noting any tender areas or unusual growths. After the vaginal exam, the doctor will insert a gloved finger into the rectum to check for tenderness, growth, or other irregularities.