Monday, May 27, 2024

ABDOMINAL EXAMINATION OF A PREGNANT WOMAN/CLIENT

Table of Contents

REQUIREMENTS #

  1. Tray containing the following:
    1. Measuring tape
    2. Foetal stethoscope (Pinnard)/Electronic foetal monitor
    3. Linen
    4. Gown
    5. Examination table
    6. Ball pen
    7. Maternal and Child Health Record Book (Manual/Electronic)

STEPS #

  1. Establish rapport (refer steps)
  2. Explain procedure to client (refer steps)
  3. Ask client to empty bladder
  4. Provide privacy and ensure client assume desired position
  5. Perform hand hygiene
  6. Assist client to undress and wear gown
  7. Help client to adopt the recumbent position
  8. Warm hands and stand by the right side of the client
  9. Expose and inspect abdomen for size and shape, previous scars, linea nigra and striae gravidarum and foetal movement
  10. Measure symphysio-fundal height
  11. Perform fundal palpation and lateral palpation
  12. Instruct client to bend knees slightly and breathe slowly through the mouth
  13. Perform pelvic palpation and assess head descent
  14. Listen and count foetal heart beat for one minute
  15. Express appreciation to client for her cooperation
  16. Assist client out of bed and re-dress
  17. Communicate findings to client
  18. Dispose off and decontaminate used items
  19. Perform hand hygiene
  20. Record and report findings to Officer in-charge