Obstetric and Gynecological Nursing - The Carter Center

Auscultation: Check Fetal heart, rate and rhythm, count for
one minute if regular.
Method: Use Pinards stethoscope
- hand should not touch it while listening,
- ear must be in close from contact with stethoscope,
Pelivic assessement
- By x-ray of the pelvis
- Clinical (assessing sign of contracted pelvis)
- Head fitting
Head fitting
The head is the best pelvimeter
METHOD 1: Head fitting, sitting patient, Method
Let her lie on a couch, place hand on the Symphysis pubes
and get the woman to sit up by her own effort. The effort
should force the head in to the pelvis.
METHOD 2 : Left hand grip method Grasp the fetal head with
left hand and push it down wards and backwards if a sense of
give is felt the head has entered and there is no over and no
cephalo pelvic disproportion.
Genito-Urinary System
- Frequency of micturation
- Check for abnormal discharge
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