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Checklist For Internal Exam

This document provides a checklist for internal examination procedures with 10 cases. It lists 13 tasks including preparing necessary articles, explaining the procedure to the patient, positioning the patient, washing/drying hands, putting on gloves, lubricating fingers, separating labia, inserting fingers into the vagina to contact the cervix, assessing various factors of the vagina, cervix, membranes, fetal presentation and station, and pelvic architecture. Examiners must check their findings with a facilitator and record them before the supervisor initials to confirm the tasks were completed correctly.

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KENT AUSTRIA
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112 views1 page

Checklist For Internal Exam

This document provides a checklist for internal examination procedures with 10 cases. It lists 13 tasks including preparing necessary articles, explaining the procedure to the patient, positioning the patient, washing/drying hands, putting on gloves, lubricating fingers, separating labia, inserting fingers into the vagina to contact the cervix, assessing various factors of the vagina, cervix, membranes, fetal presentation and station, and pelvic architecture. Examiners must check their findings with a facilitator and record them before the supervisor initials to confirm the tasks were completed correctly.

Uploaded by

KENT AUSTRIA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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CHECKLIST FOR INTERNAL EXAMINATION

Task/Procedure CASES
1 2 3 4 5 6 7 8 9 10
1. Prepares articles completely.
2. Explains the procedure to the patient.
3. Put the patient in a dorsal lithotomy position.
4. Wash or flush the perineum.
5. Wash hands, dry.
6. Put on sterile gloves.
7. Lubricate two fingers of the right hand with antiseptic or lubricating jelly.
8. Separate the labia with the thumb and little finger of the left hand.
9. Insert the 2nd and 3rd fingers sidewise deep into the vagina in downward
direction.
10. Palms facing upward, sway the fingers on the wall of the vagina till they come
in contact with cervix.
11. Assess the following:
a. Vagina/perineum : firm/distensible
b. Condition of the cervix: firm, soft, close, open, effacement, dilation
c. Memebranes : intact/ruptured ( character of amniotic fluid )
d. Presentation of fetus : cephalic, breech, shoulder, others
e. Station of the presenting part.
f. Pelvic architecture
1) Ischial spines
Prominent
Not prominent
2) Diagonal Conjugate
11.5 cm (less than)
11.5 cm (greater than)
12. Check findings accurately with facilitator or clinical instructor
13. Record findings.
Supervisor’s Initial

Instruction: Accomplish this form by using the legend according to the observed task/activity. Name of Scholar : ___________________________
Legend: ( ) done correctly ( X ) not done correctly ( * ) not done Name of Supervisors: ___________________________
___________________________
___________________________

Date of Accomplished: _____________________________

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