Pelvic cue card checklist.qxd 4/10/2008 12:42 PM Page 1
PELVIC EXAMINATION Checklist PELVIC EXAMINATION Checklist
Bimanual Rectovaginal Examination: Preparation: Check all materials and equipment Reglove and apply lubricant to index and Wash hands in the presence of the patient middle fingers Position patient: Alert patient that the rectovaginal exam will offer pillow begin raise table back drape appropriately Place middle finger on anus and ask patient place patient's feet in foot rests to bear down have patient move buttocks to end of table Adjust the light and drape Insert middle finger into rectum and index finger into vagina Put on gloves Explain in advance each step of the examination Repeat the palpation and characterization of and warn patient when you begin the cervix, and other structures from this position External Examination: Sweep posterior pelvic wall with rectal finger Inspect and palpate the mons pubis, labia majora and perineum Palpate rectovaginal septum between fingers Separate the labia and inspect: labia minora Remove fingers smoothly clitoris urethral meatus Help patient assume sitting position vaginal opening Skene's glands Bartholin's glands Inspect the anus Ask patient to bear down to assess for cystocele/ rectocele if indicated Pelvic cue card checklist.qxd 4/10/2008 12:42 PM Page 2
PELVIC EXAMINATION Checklist PELVIC EXAMINATION Checklist
Speculum Examination and Pap Test: Bimanual Pelvic Examination: