What is an abdominal examination in pregnancy?

Posted on by Muna Meyer

What is an abdominal examination in pregnancy?

These diagrams show the position of the baby and demonstrate the technique of ‘abdominal palpation’, which means to examine by touching and feeling. The midwife or doctor uses this technique during your antenatal visit to examine your baby’s development. Baby in vertex – or ‘head’ down position.

What are the steps of obstetric abdominal examination?

Transverse lie: the fetus is lying directly across the uterus.

  1. Palpate the abdomen to determine fetal lie.
  2. Palpate the abdomen to determine fetal lie.
  3. Palpate the abdomen to determine fetal lie.
  4. Palpate the abdomen to determine fetal lie.
  5. Longitudinal lie.
  6. Oblique and Transverse lie.

What is PER abdominal examination?

Palpation is the examination of the abdomen for crepitus of the abdominal wall, for any abdominal tenderness, or for abdominal masses. The liver and kidneys may be palpable in normal individuals, but any other masses are abnormal.

What is special obstetric examination?

Obstetric examination focuses on uterine size, fundal height (in cm above the symphysis pubis), fetal heart rate and activity, and maternal diet, weight gain, and overall well-being. Speculum and bimanual examination is usually not needed unless vaginal discharge or bleeding, leakage of fluid, or pain is present.

Why is abdominal assessment different?

The difference is based on the fact that physical handling of peritoneal contents may alter the frequency of bowel sounds. What do you need to know about inspection, auscultation, percussion, and palpation of the abdomen?

What is the correct order of abdominal assessment?

Assessing your patient’s abdomen can provide critical information about his internal organs. Always follow this sequence: inspection, auscultation, percussion, and palpation. Changing the order of these assessment techniques could alter the frequency of bowel sounds and make your findings less accurate.

How to palpate the abdomen during an abdominal exam?

Wash and warm your hands so they are warm when you touch the patient’s skin.

  • Communicate with the patient and ask them to tell you where the most painful region is during palpation.
  • Palpate with light pressure then deep pressure.
  • Palpate all four quadrants.
  • Use a one-handed or two-handed technique.

    • What is the Order of abdominal exam?

    Psoas sign – pain with extension of the hip and tensing of the psoas muscle

  • Obturator sign – pain when tensing the obturator muscle
  • Rovsing’s sign – pain in the right lower abdominal quadrant on palpation of the left side of the abdomen
  • McBurney’s sign – deep tenderness at McBurney’s point
  • Carnett’s sign – pain when tensing the abdominal wall muscles

    • How to palpate abdomen?

    – Eat but eat properly. We all know the importance of eating before a night out on the booze. – Veg out. A TikTok video earlier this year claimed that eating asparagus can help reduce the intensity of and completely prevent hangovers – and this is true according to Jessica. – Choose your booze. – Up in smoke. – The morning after.

    How to do abdominal assessment?

    – Aorta: slightly below the xiphoid process midline with the umbilicus – Renal Arteries: go slightly down to the right and left at the aortic site – Iliac arteries: go few a inches down from the belly button at the right and left sides to listen – Femoral arteries: found in the right and left groin.