Podcast
Questions and Answers
During patient preparation for an abdominal exam, it is important to ensure ______.
During patient preparation for an abdominal exam, it is important to ensure ______.
patient privacy
In the inspection of the general appearance of the abdomen, one should look for skin changes such as Linea ______.
In the inspection of the general appearance of the abdomen, one should look for skin changes such as Linea ______.
Nigra
When palpating the uterus, determining if the uterus is in the ______ is an important step.
When palpating the uterus, determining if the uterus is in the ______ is an important step.
midline
If the gestation according to dates and SFH differs, a difference of more than 3 weeks when the Uterus fundus is below the umbilicus indicates to use ______, if less, use date.
If the gestation according to dates and SFH differs, a difference of more than 3 weeks when the Uterus fundus is below the umbilicus indicates to use ______, if less, use date.
In the fundal grip, the examiner uses their fingers of ______ at the fundus to feel which pole of the fetus is present.
In the fundal grip, the examiner uses their fingers of ______ at the fundus to feel which pole of the fetus is present.
The lie (longitudinal, transverse, or oblique) of the fetus and which side is the back and which the limbs are is determined during the ______.
The lie (longitudinal, transverse, or oblique) of the fetus and which side is the back and which the limbs are is determined during the ______.
In the Pawlick Grip the examiner grasps the lower half of the abdomen above the ______ between the thumb and fingers of one hand.
In the Pawlick Grip the examiner grasps the lower half of the abdomen above the ______ between the thumb and fingers of one hand.
In the Pelvic Grip you palpate deeply in the ______ with the tip of middle 3 fingers of both hands.
In the Pelvic Grip you palpate deeply in the ______ with the tip of middle 3 fingers of both hands.
When listening to the fetal heart to check on the moms, you will need to feel Moms ______ while listening for the fetal heart beat to rule out any abnormalities.
When listening to the fetal heart to check on the moms, you will need to feel Moms ______ while listening for the fetal heart beat to rule out any abnormalities.
During the abdominal exam of a pregnant woman, after determining the lie, presentation, and position of the fetus, and before documenting findings, one must first provide ______ regarding the examination.
During the abdominal exam of a pregnant woman, after determining the lie, presentation, and position of the fetus, and before documenting findings, one must first provide ______ regarding the examination.
Flashcards
Hand hygiene
Hand hygiene
Performed to ensure the safety of both the healthcare provider and the patient by minimizing the risk of infection during the examination.
Patient communication
Patient communication
The initial step in the abdominal examination to understand the patient's condition and concerns.
Patient Preparation
Patient Preparation
Ensuring the patient's bladder is empty and positioning her correctly to facilitate a more accurate and comfortable examination.
Abdominal Inspection
Abdominal Inspection
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Uterine Palpation
Uterine Palpation
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Fundal Grip (Leopold's)
Fundal Grip (Leopold's)
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Lateral Grip (Leopold's)
Lateral Grip (Leopold's)
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Pawlick Grip (Leopold's)
Pawlick Grip (Leopold's)
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Pelvic Grip (Leopold's)
Pelvic Grip (Leopold's)
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Fetal Heart Auscultation
Fetal Heart Auscultation
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Study Notes
- Abdominal exam of a pregnant woman (not in labor)
Before Procedure
- Perform hand hygiene
- Greet and identify patient
- Communicate with the patient about any abdominal pain, explain the procedure, and obtain consent
- Gather all necessary equipment
Patient Preparation
- Ensure the bladder is empty
- Position the patient on their back with their head slightly elevated
- Have a chaperone available if needed
- Ensure patient privacy
Inspection of the General Appearance of the Abdomen
- Note obesity (BMI)
- Check the skin for scars from previous cesarean sections, linea nigra, and stretch marks
- Assess the uterus size and shape, considering possibilities such as multiple pregnancy, discrepancies in symphysis-fundal height (SFH), multi-fibroid uterus, wrong gestation, malposition, or amniotic fluid volume
Palpation of the Uterus
- Verify that the uterus midline
- Palpate for any irregularities in the uterus wall
- Determine the size of the uterus
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