ABDOMINAL EXAMINATION OF A PREGNANT WOMAN/CLIENT

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