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  • Internal Examination: Prepared By: Lester D. Bongabong BSN Ii - B

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    Justine Cagatan
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    An internal examination involves a physical examination of the vagina, cervix, uterus, fallopian tubes, ovaries and rectum conducted by a doctor or caregiver. It is typically done 3 times during pregnancy - early, late, and during labor - to monitor cervical changes, determine labor progress,

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    INTERNAL EXAMINATION

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    An internal examination involves a physical examination of the vagina, cervix, uterus, fallopian tubes, ovaries and rectum conducted by a doctor or caregiver. It is typically done 3 times during pregnancy - early, late, and during labor - to monitor cervical changes, determine labor progress,

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    328 views9 pages

    Internal Examination: Prepared By: Lester D. Bongabong BSN Ii - B

    Uploaded by

    Justine Cagatan
    An internal examination involves a physical examination of the vagina, cervix, uterus, fallopian tubes, ovaries and rectum conducted by a doctor or caregiver. It is typically done 3 times during pregnancy - early, late, and during labor - to monitor cervical changes, determine labor progress,

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 9

    INTERNAL

    EXAMINATION

    PREPARED BY:

    LESTER D. BONGABONG
    BSN II - B
    WHAT IS INTERNAL EXAMINATION?

     A physical examination of the vagina, cervix,


    uterus, fallopian tubes, ovaries and rectum.

     It is conducted by the doctor/caregiver to


    determine cervical changes and progress of labor.
    Typically these exams are conducted in 3 times during
    pregnancy:
     
    Early Pregnancy: Around the 8th week mark. The doctor may
    do a physical exam for a pap smear or just to identify length,
    texture, and any abnormalities in the cervix if any.

    Late Pregnancy: Doctors begin internal exams around the 36th


    week mark and often this becomes a weekly routine.

    During Labor: The frequency of internal exams rise to a fever


    pitch and you are given one every 4-6 hours depending on the
    protocol of the hospital/doctor/caregiver.
    Why is the vaginal exam/internal exam performed?
     
    To monitor “progress of labor”
    To monitor heartbeat of unborn child.
    To check the position of your baby’s head, and whether it
    is engaged or not.
    To check the position of your baby and if the water bag
    needs to be ruptured.
    To track how much your cervix has opened up. Initially, the
    size is 1cm and it goes up to 10cm. When your cervix is
    10cm or more, it is the time to push your baby out.
    THE DOCTOR MAY ALSO RECOMMEND AN INTERNAL VAGINAL
    EXAMINATION UNDER THE FOLLOWING SITUATIONS:

    To check for infections


    To conduct a pap smear test
    To check for bleeding
    To prevent inducing labour

    2 TYPES OF PROCEDURE OF AN INTERNAL CHECK-UP DURING


    PREGNANCY

    1. Internal Examination With Gloved Hands


    2. Internal Examination With a Speculum
    WHAT DOES ONE HOPE TO LEARN FROM AN INTERNAL EXAMINATION?
     
    Dilation: This measures how open the cervix is on a scale of 1 cms to 10 cms

    Consistency: This measures the consistency of the cervix.

    Position: During pregnancy due to changing shapes, dimensions, the cervix moves
    the back, it transitions to the front which makes it more accessible to the
    doctor/caregiver.

    Station: This is an estimation of how far the baby's head has come down into the
    pelvis.

    Effacement: This measures the thickness of the cervix on a scale of 0% to 100%


    where 0% is thick and long and 100% is paper thin due to the descent of the baby.

    Presentation: This helps the doctor/ caregiver identify which part of the body is
    leading the way. Head or feet (breech)

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