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    External Genitalia Assessment Procedure

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    analyandoque28

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    © All Rights Reserved
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    External Genitalia Assessment Procedure

    Uploaded by

    analyandoque28
    7 views14 pages

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    7 views14 pages

    External Genitalia Assessment Procedure

    Uploaded by

    analyandoque28

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 14

    Inspecting

    and palpating
    external female
    genitalia

    Presented by: Group 2


    Assessmement
    procedure
    Equipments
    1 Inspect the mons pubis
    Wash your hands and put on gloves. Note the distribution of pubic hair.
    Also be alert for signs of infestation.

    NF: Pubic Hair


    -distributed in inverted triangular pattern
    -no signs of infestation

    Older Adult Consideration


    -may have gray, thinning pubic hair

    AF: Lice or nits (eggs) at the base of the pubic hairs


    - indicate pediculosis pubis infestation.
    -referred to as “crabs,”
    -most often transmitted by sexual contact.
    2 Observe and palpate inguinal lymp nodes

    NF: Lymph Nodes


    -no enlargement or swelling
    AF: Enlarged inguinal nodes
    -may indicate vaginal infection
    -may be result of irritation from hair removal

    3 Inspect the labia majora and perineum


    Observe lesion, swelling and excoriation
    NF: Labia majora
    -equal in size
    -free of lesion, swelling and excoration
    Perinuem
    -smooth
    -healed tear or episiotomy scar
    -may be visible if the client has given birth
    labia of a woman who has not delivered offspring vaginally
    - will meet in the middle
    labia of a woman who has delivered vaginally
    - will not meet in the middle and may appear shriveled

    Cultural Consideration
    In pubertal rites in some cultures, the clitoris is surgically
    removed and the labia are sutured, leaving only a small
    opening for menstrual flow. Once married, the woman
    undergoes surgery to reopen the labia

    AF: Lesion
    -may be from infectious disease (herpes or syphilis)
    Excoriation and swelling
    -may be from scratching or self-treatment of lesion
    Inspect the
    Inspect labia
    the monsminora,
    pubisclitoris, urethral
    4 meatus, and vaginal opening
    Use your gloved hand to separate the labia majora.
    Inspect for lesion, excoration, swelling and/or discharge

    NF: Labia Minora


    - symmetric, dark pink, and moist
    Clitoris
    -small mound of erectile tissue
    -sensitive to touch.
    -normal size varies
    Urethral meatus
    -small and slitlike
    Vaginal opening
    -positioned below the urethral meatus
    -size depends on sexual activity or vaginal delivery
    Hymen
    -may cover the vaginal opening partially or completely
    AF: -lesions, swelling, bulging in the vaginal opening
    Asymmetric labia
    -may indicate abscess
    Excoriation
    -may result from the client scratching or self-treating a perineal irritation.
    4 Palpate Bartholin glands
    Place your index finger in the vaginal opening and your thumb on the labia majora.
    With a gentle pinching motion, palpate from the inferior portion of the posterior labia
    majora to the anterior portion.
    NF: Bartholin glands
    -soft, nontender, and drainage free.
    AF: Swelling, pain, and discharge
    -may result from infection and abscess
    If you detect a discharge, obtain a specimen to send to the
    laboratory for culture.
    6 Palpate the urethra

    If the client reports urethral symptoms or urethritis or if you suspect inflammation of


    Skene glands, insert your gloved index finger into the superior portion of the vagina
    and milk the urethra from the inside, pushing up and out.

    NF: Urethral meatus


    -no drainage
    -normally soft and nontender.
    AF: Drainage from the urethra
    -indicates possible urethritis
    Urethritis
    -may occur with infection with Neisseria gonorrhoeae or Chlamydia trachomatis

    Any discharge should be cultured.


    Thank
    You

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