Genitals And Inguinal Assessment-female

Genitals and Inguinal Assessment

Female Genitals and Inguinal Area ♂External Female Genitals  mons pubis  prepuce  clitoris  labia majora  labia minora  urethra  vagina  vestibule  perineum

Anatomy ♂ Internal Female Genitals  fallopian tube  ovary  uterus  bladder  urethra  Bartholin’s gland

Five Stages of Pubic Hair Development  Stage 1  Stage 2  Stage 3  Stage 4  Stage 5

Assessment ♂ Genitals  external genitals  Internal genitals ♂ Reproductive Tract ♂ Inguinal Lymph Nodes

Assessment ♂ Equipment 

drape



examination gloves



supplemental lighting, if needed

Assessment  Implementation

1.Explain the procedure to the client. 2. Wash hands, apply gloves and appropriate infection control procedures. 3. Provide for client privacy.

Assessment 4. Inquire client’s history: ♂ age of onset of menstruation ♂ last menstrual period (LMP) ♂ regularity of cycle, duration, amount of daily flow, and whether menstruation is painful ♂ incidence of pain during intercourse ♂ vaginal discharge ♂ number of pregnancies

History ♂ number of live births ♂ labor or delivery complications ♂ urgency and frequency of urination at night ♂ blood in urine ♂ painful urination ♂ incontinence ♂ history of sexually transmitted disease, past and present

Assessment 5. Position the client supine with feet elevated on the stirrups of an examination table. Alternately assist the client into the dorsal recumbent position with knees flexed and thighs externally rotated.

Assessment 6. Inspect the distribution, amount, and characteristics of pubic hair. 7. Inspect the skin of the pubic area for parasites, inflammation, swelling and lesions. 8. Inspect the clitoris, urethral orifice and vaginal orifice when separating the labia minora. 9. Palpate the lymph nodes. 10. Document findings.

Internal Genitals  Involves the following a.

palpating Skene’s and Bartholin’s glands

c.

asessing the pelvic musculature

e.

inserting a vaginal speculum to inspect the cervix and vagina

g.

obtaining a Papanicolaou smear

Internal Genitals ♂ Nursing Responsibilities

2. Assembling the equipment 3. Preparing the client. 4. Supporting the client during the

procedure. 5. Monitoring and assisting the client after the procedure. 6. Documenting the procedure.

Vaginal Speculum

Papanicolaou Smear



Inserting a vaginal speculum and obtaining a specimen

Normal Cervical Mucus  wet, clear, slippery,

fertile mucus

 sticky, white, cloudy,

infertile mucus (on the left)

Lifespan Considerations ♂ Infants  Can

be held in a supine position on the mother’s lap with knees supported in a flexed position and separated.

 The

labia and clitoris may be edematous and enlarged and there may be white vaginal discharge

Lifespan Considerations ♂ Children  Ensure that you have parent or guardian’s approval to perform the examination and tell the child what you are going to do.  Assessment of adolescent girls is limited to inspection of the external genital unless, unless the girls is sexually active.  The clitoris is a common site for syphilitic chancres in younger females

Lifespan Considerations ♂ Elders Labia are atrophied and flatter  The vulva, falllopian tubes and ovaries atrophy  The clitoris is a common site for cancerous lesions  The vaginal environment becomes dier and more alkaline  The cervix and uterus decrease in size  Ovulation and estrogen production cease  Prolapse of the uterus 