GENERAL EXAMINATION OF A PREGNANT WOMAN AT THE ANTE-NATAL CLINIC

REQUIREMENTS #

1. Set a trolley containing the following:
   1. Top shelf
      1. Gallipot with cotton wool swab
      2. Kidney dish
      3. Sterile container for urine specimen
   2. Bottom Shelf
      1. Mackintosh
      2. Gown
      3. Bed linen
      4. Sphygmomanometer and stethoscope
      5. Foetal stethoscope/Electronic foetal monitor
      6. Urine dipsticks
      7. Clinical thermometer
      8. Measuring tape
      9. Sanitary pad
      10. Torch light
      11. Disposable gloves
      12. Ballpoint pen, pencil
      13. Weight scale
      14. Height scale
      15. Examination table
2. Others

STEPS #

1. Establish rapport (refer steps)
2. Explain procedure to client (refer steps)
3. Ask the client to empty her bladder and obtain midstream urine
4. Provide privacy and perform hand hygiene
5. Observe general appearance of client
6. Measure height and weight
7. Check temperature, pulse respiration and blood pressure
8. Assist client to undress and wear gown
9. Help client to adopt dorsal position
10. Examine scalp and face
11. Examine neck, upper limbs and axillae
12. Examine breasts and teach client breast self-examination
13. Expose and inspect abdomen
14. Measure symphysio-fundal height
15. Perform fundal and lateral palpation
16. Instruct client to bend her knees slightly and breathe slowly through the mouth
17. Perform pelvic palpation and assess head descent
18. Listen and count foetal heart rate for one minute
19. Examine the vulva for any abnormalities
20. Instruct client to lie on her side and examine the back
21. Examine the lower limbs
22. Communicate findings to the client
23. Express appreciation to client for her cooperation
24. Help her out of bed and assist to re-dress
25. Dispose off and decontaminate used items
26. Perform hand hygiene
27. Record and report findings