Female

• ALE


  Abbreviation for Assessment, Labeling, and Evaluation
• GENITALIA


  External and internal reproductive organs

  
• ESSME


  Abbreviation for Examination of the Skin, Subcutaneous Tissue, Muscles, and Extremities
• NT


  Abbreviation for History Taking
• History Taking


  • dysuria
  • urine odor
  • regularity of menstruation
  • sexual activity
  • number of successful pregnancies and delivery (parity)
  • age (elderly)
  • dyspareunia
• Assessment Skill 1


  Gathers equipment (stool, light, speculum, emesis basin filled with warm tap water, surgilube, cotton-tipped applicators, Chlamydia culture tube, culturette, test tube, test tube with water, sterile gloves, Ayre spatula (wood stick), and feminine napkins)
• Chlamydia culture tube


  Used to collect specimen for Chlamydia testing
• Cotton-tipped applicators


  Used to collect specimen
• Ayre spatula


  Used to collect specimen
• Assessment Skill 2


  Explains procedure to client
• Assessment Skill 3


  Assists client to put on a gown
• Dorsal recumbent position


  Position that facilitates better visualization of the area being examined
• Lithotomy position


  Position that facilitates better visualization of the area being examined
• Providing privacy


  To lessen anxiety and prevent embarrassment
• Assessment Skills of External Genitalia


  1. Wash hands; dons gloves

  2. Inspect the Mons Pubis

  3. Palpate inguinal lymph nodes

  4. Inspect labia majora and perineum

  5. Inspect the labia minora, clitoris, urethral meatus, and vaginal opening

  6. Palpate Bartholin's glands
• Mons Pubis

  The rounded eminence formed by fatty tissue overlying the pubic symphysis
• Pediculosis Pubis


  A pubic lice infestation diagnosed by finding a "crab" louse or egg (nit) on hair in the pubic region or, less commonly, elsewhere on the body
• Bartholin's gland


  A mucus-secreting gland, which plays a role in vaginal lubrication
• Assessment Skills of Internal Genitalia

  1. Inspect the size of the vaginal opening and the angle of the vagina

  2. Assesses the vaginal musculature

  3. Ask the client to bear down, and then separate the labia minora

  4. Inspect the cervix for color, size, and position surface

  5. Observe the surface and appearance of the os

  6. Obtain specimen for Pap smear and, if indicated, specimens for culture and sensitivity testing

  7. Inspect the vagina

  8. Performs the bimanual examination

  9. Palpate the cervix for contour, consistency, mobility, tenderness

  10. Palpate the uterus and notes the uterine size, position, shape and consistency

  11. Perform the rectovaginal examination

  
• Papanicolaou test (Pap test or Pap smear)


  A small brush is used to gently remove cells from the surface of the cervix and the area around it so they can be checked under a microscope for cervical cancer or cell changes that may lead to cervical cancer
• Bimanual examination


  Palpation of the internal reproductive structures using both hands - one hand in the vagina and the other on the abdomen

  
• Rectovaginal examination


  Palpation of the internal reproductive structures through the anterior rectal wall

  
• Supplemental videos are available to further explain the assessment skills