Abdominal Exam During Pregnancy

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Questions and Answers

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 ______.

Nigra

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.

<p>SFH</p> Signup and view all the answers

In the fundal grip, the examiner uses their fingers of ______ at the fundus to feel which pole of the fetus is present.

<p>both hands</p> Signup and view all the answers

The lie (longitudinal, transverse, or oblique) of the fetus and which side is the back and which the limbs are is determined during the ______.

<p>Lateral Grip</p> Signup and view all the answers

In the Pawlick Grip the examiner grasps the lower half of the abdomen above the ______ between the thumb and fingers of one hand.

<p>symphysis pubis</p> Signup and view all the answers

In the Pelvic Grip you palpate deeply in the ______ with the tip of middle 3 fingers of both hands.

<p>pelvic inlet</p> Signup and view all the answers

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.

<p>pulse</p> Signup and view all the answers

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.

<p>patient feedback</p> Signup and view all the answers

Flashcards

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

The initial step in the abdominal examination to understand the patient's condition and concerns.

Patient Preparation

Ensuring the patient's bladder is empty and positioning her correctly to facilitate a more accurate and comfortable examination.

Abdominal Inspection

Assessing skin changes, scars, and the overall appearance of the abdomen to gather clues about the pregnancy's progress and potential complications.

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Uterine Palpation

Palpating the uterus to determine its position, feel for irregularities, and estimate gestational age based on size and fundal height.

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Fundal Grip (Leopold's)

Method to estimate gestational age by feeling which part of fetus is in the fundus.

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Lateral Grip (Leopold's)

Determining which side the fetal back is using palpation.

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Pawlick Grip (Leopold's)

Determines if the presenting part is engaged

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Pelvic Grip (Leopold's)

Determine the amount of head above pelvic brim

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Fetal Heart Auscultation

Listening for the fetal heart to assess fetal well-being and ruling out fetal demise.

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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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