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Internal Examination Guidelines for Patients

The document provides guidelines for performing an internal examination to assess amniotic fluids, cervix consistency, effacement, and dilatation. It outlines preparing the patient by explaining the procedure, having the patient empty their bladder and get in lithotomy position. It also notes that the exam should be done between contractions to avoid pain and membrane rupture, and sterile technique should be followed.

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Amiel Francisco Reyes
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41 views4 pages

Internal Examination Guidelines for Patients

The document provides guidelines for performing an internal examination to assess amniotic fluids, cervix consistency, effacement, and dilatation. It outlines preparing the patient by explaining the procedure, having the patient empty their bladder and get in lithotomy position. It also notes that the exam should be done between contractions to avoid pain and membrane rupture, and sterile technique should be followed.

Uploaded by

Amiel Francisco Reyes
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

INTERNAL EXAMINATION

COURSE AUDIT
FHC
MID 2
Internal examination
is done to assess the status of amniotic fluids,
consistency of the cervix, effacement and
dilatation.
PATIENT PREPARATION
 Explain the procedure to the patient
 Let the woman empty her bladder.
 Provide good lighting.
 Place the woman in lithotomy position with buttocks extended
slightly beyond examination table.
 Drape properly / Provide privacy
 Do not leave the patient un attended.
 Instruct the woman to:
 Hold or squeeze your hand or that of her husband
 Hold her breath
 Clench fist
Guidelines in doing Internal Examination :
IE is perform in between contraction.
IE perform during contraction causes a lot of pain
and may caused intact membrane to ruptured.
 Less IE is done when membrane have ruptured
to prevent infection.
 IE is not done in the presence of cord prolapse or
vaginal bleeding.
 IE is a sterile procedure, wash hand and wear
sterile gloves during the procedure.

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