Physical assessment - Female reproductive system: Nursing

Assessment of the female reproductive system should be completed as part of a comprehensive client assessment or as part of a focused exam if the client is experiencing issues, such as vaginal discharge or pain with intercourse. This assessment provides the nurse with information about the genitalia, as well as general sexual and reproductive health. This assessment applies to any client with female reproductive organs, regardless of their gender identity.

Okay, the supplies needed for the female reproductive exam include drapes, gloves, and a good source of light. For certain parts of the exam, the nurse will assist the healthcare provider or act as a chaperone, which is often required by facilities to protect your client and clinician during female reproductive exams.

Before getting started, ask your client to empty their bladder, because a full bladder can make the examination uncomfortable. Also, ensure the temperature in the room is comfortable, and warm your hands since cold temperatures can cause rigidity of the pelvic muscles. Remember to provide privacy by closing the door and curtains.

Before getting started, be sure to answer any questions they might have before obtaining verbal consent. Then, perform hand hygiene and collect your supplies. Then, assist your client into the lithotomy position, meaning they are lying flat on their back with their feet in stirrups. You’ll help your client get into this position by sliding their buttocks to the end of the examination table and draping them in a way that minimizes unnecessary exposure. You should lay the drape above their knees, up to the symphysis pubis, and then let the drape hang low between the knees.

During the examination, keep in mind that the female reproductive assessment can be uncomfortable, both physically and emotionally, so some special considerations should be made while completing this assessment. It’s crucial to explain exactly what will happen at every step. Furthermore, this examination can be especially anxiety-producing for clients who are transgender or those who have experienced sexual abuse or trauma. For transgener clients, be sure to use gender appropriate terms and preferred pronouns. Also keep in mind that clients who have had gender-reaffirming surgery may have variations in their assessment depending on the procedures performed. For clients who have experienced sexual abuse or trauma, avoid rushing your assessment and use a gentle touch. You should let your client know that at any time the exam can be stopped or paused if they request. In addition, for all clients, it’s recommended to let them know you’re starting by touching your client in a neutral location, such as the lower leg.