The letter, sent out as a senior prank, was hand-delivered to over 50 local families in the Prior Lake High School district in Savage, Minnesota and warned female students to remove piercings before the examination. According to reports from the Minneapolis Star-Tribune , the letter also went on to threaten students failing to pass the test that they would keep them from graduating. The letter, tweeted by members of the student body, was written on official school headed paper and read:. LOLOL prior lake's senior prank why couldn't we have been this clever Click play to listen below
Running from the operating room to the office in a Vagina inspection scrub suit should be reserved for dire emergencies. Any Vagina inspection, such as a warty growth, a mass, an ulcer, or anything else, must be examined carefully. Always instruct the patient to void before Vagina inspection examination is Vagina inspection. Do not expose the patient until you are ready to examine her. Skills: Screening tests for syphilis Objectives Syphilis screening Syphilis rapid test 1e. Oophorectomy Salpingoophorectomy. The cheek bones and the mouth form a triangle. If it Vagina inspection impossible to find the problem without hurting the patient, hurting her will not help. Hypertensive disorders of pregnancy Definition of sexual harrassment The hypertensive disorders of pregnancy The classification of hypertension during pregnancy Pre-eclampsia Patients at increased risk of pre-eclampsia The management of pre-eclampsia The emergency management of severe pre-eclampsia and imminent eclampsia The management of eclampsia The further management of severe pre-eclampsia and imminent eclampsia at the referral hospital Gestational hypertension Chronic hypertension Postpartum hypertension Case studies 3a. Temperature Heart rate Blood pressure Respiratory rate.
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A vaginal examination in labour is a sterile procedure if the membranes have ruptured or are going to be ruptured during the examination.
Therefore, a sterile tray is needed. The basic necessities are:. An ordinary surgical glove can be used and the patient does not need to be swabbed if the membranes have not ruptured yet and are not going to be ruptured during the examination. A vaginal examination in labour is a systematic examination, and the following should be assessed:. The cervix becomes progressively shorter in early labour. The length of the cervix is measured by assessing the length of the endocervical canal.
This is the distance between the internal os and the external os on digital examination. The endocervical canal of an uneffaced cervix is approximately 3 cm long, but when the cervix is fully effaced there will be no endocervical canal, only a ring of thin cervix.
The length of the cervix is measured in centimetres and millimetres. Dilatation must be assessed in centimetres, and is best measured by comparing the degree of separation of the fingers on vaginal examination, with the set of circles in the labour ward. In assessing the dilatation of the cervix, it is easy to make two mistakes:. Rupture of the membranes may be obvious if there is liquor draining.
However, one should always feel for the presence of membranes overlying the presenting part. If the presenting part is high, it is usually quite easy to feel intact membranes. It may be difficult to feel the membranes if the presenting part is well applied to the cervix. In this case, one should wait for a contraction, when some liquor often comes in front of the presenting part, allowing the membranes to be felt. Sometimes the umbilical cord can be felt in front of the presenting part a cord presentation.
The presence of meconium may change the management of the patient as it indicates that fetal distress has been and may still be present. An abdominal examination must have been done before the vaginal examination to determine the lie of the fetus and the presenting part.
If the presenting part is the fetal head, the number of fifths palpable above the pelvic brim must first be determined. When palpating the presenting part on vaginal examination, there are four important questions that you must ask yourself:.
Position means the relationship of a fixed point on the presenting part i. The position is determined on vaginal examination. Moulding is the overlapping of the fetal skull bones at a suture which may occur during labour due to the head being compressed as it passes through the pelvis of the mother. In a cephalic head presentation, moulding is diagnosed by feeling the overlap of the sutures of the skull on vaginal examination, and assessing whether or not the overlap can be reduced corrected by pressing gently with the examining finger.
The presence of caput succedaneum can also be felt as a soft, boggy swelling, which may make it difficult to identify the presenting part of the fetal head clearly. With severe caput the sutures may be impossible to feel.
The occipito-parietal and the sagittal sutures are palpated and the relationship or closeness of the two adjacent bones assessed. When assessing the pelvis, the size and shape of the pelvic inlet, the mid-pelvis, and the pelvic outlet must be determined.
Figure 8B Lateral view of the pelvis, showing the examining fingers just reaching the sacral promontory. Lateral to the midsacrum, the sacrospinous ligaments can be felt. If these ligaments are followed laterally, the ischial spines can be palpated. Put 2 examining fingers, with the palm of the hand facing upwards, behind the symphysis pubis and then move them laterally to both sides:.
To measure the subpubic angle, the examining fingers are removed from the vagina and turned so that the palm of the hand faces upward, a third finger is held at the entrance of the vagina introitus and the angle under the pubis felt. The intertuberous diameter is measured with the knuckles of a closed fist placed between the ischial tuberosities. Bettercare Learning Programmes Maternal Care 8b.
Skills: Vaginal examination in labour. Assess the state of the cervix. Assess the presenting part. Assess the size of the pelvis.
Equipment that should be available for a sterile vaginal examination A vaginal examination in labour is a sterile procedure if the membranes have ruptured or are going to be ruptured during the examination. The basic necessities are: Swabs. Tap water for swabbing.
Sterile gloves. A suitable instrument for rupturing the membranes. An antiseptic vaginal cream or sterile lubricant. Preparation of the patient for a sterile vaginal examination Explain to the patient what examination is to be done, and why it is going to be done. The woman needs to know that it will be an uncomfortable examination, and sometimes even a little painful. The patient should lie on her back, with her legs flexed and knees apart. Do not expose the patient until you are ready to examine her.
It is sometimes necessary to examine the patient in the lithotomy position. This is done by first swabbing the labia majora and groin on both sides and then swabbing the introitus while keeping the labia majora apart with your thumb and forefinger.
Sterile gloves must be worn. The examiner must think about the findings, and their significance for the patient and the management of her labour. Procedure of examination A vaginal examination in labour is a systematic examination, and the following should be assessed: Vulva and vagina.
Presenting part. Always examine the abdomen before performing a vaginal examination in labour. An abdominal examination should always be done before a vaginal examination. The vulva and vagina D. Important aspects of the examination of the vulva and vagina This examination is particularly important when the patient is first admitted: When you examine the vulva you should look for ulceration, condylomata, varices and any perineal scarring or rigidity.
When you examine the vagina, the presence or absence of the following features should be noted: A vaginal discharge. A full rectum. A vaginal stricture or septum. Presentation or prolapse of the umbilical cord. A speculum examination, not a digital examination, must be done if it is thought that the patient has preterm or prelabour rupture of the membranes. The cervix When you examine the cervix you should observe: Length. Measuring cervical length The cervix becomes progressively shorter in early labour.
Dilatation Dilatation must be assessed in centimetres, and is best measured by comparing the degree of separation of the fingers on vaginal examination, with the set of circles in the labour ward. In assessing the dilatation of the cervix, it is easy to make two mistakes: If the cervix is very thin, it may be difficult to feel, and the patient may be said to be fully dilated, when in fact she is not. When feeling the rim of the cervix, it is easy to stretch it, or pass the fingers through the cervix and feel the rim with the side of the fingers.
The correct method is to place the tips of the fingers on the edges of the cervix. Figure 8B The correct method of measuring cervical dilatation The membranes and liquor G.
Assessment of the membranes Rupture of the membranes may be obvious if there is liquor draining. If the membranes are intact, the following two questions should be asked: Should the membranes be ruptured?
When the presenting part is high, there is always the danger that the umbilical cord may prolapse. However, it is better for the cord to prolapse while the hand of the examiner is in the vagina, when it can be detected immediately, than to have the cord prolapse with spontaneous rupture of the membranes while the patient is unattended. HIV-positive patients should not have their membranes ruptured unless there is poor progress of labour. What is the condition of the liquor when the membranes rupture?
The presenting part An abdominal examination must have been done before the vaginal examination to determine the lie of the fetus and the presenting part. When palpating the presenting part on vaginal examination, there are four important questions that you must ask yourself: What is the presenting part, e.
If the head is presenting, what is the presentation, e. If the presentation is occiput, vault or brow, is moulding present? Assessing the presenting part The presenting part is usually the head but may be the breech, the arm, or the shoulder.
Features of an occiput presentation. The posterior fontanelle is normally felt. It is a small triangular space. In contrast, the anterior fontanelle is diamond shaped. If the head is well flexed, the anterior fontanelle will not be felt.
If the anterior fontanelle can be easily felt, the head is deflexed and the presenting part the vault. Features of a face presentation. On abdominal examination the presenting part is the head. However, on vaginal examination: Instead of a firm skull, the presenting part is soft. The gum margins distinguish the mouth from the anus. The cheek bones and the mouth form a triangle.
The orbital ridges above the eyes can be felt. The ears may be felt. Features of a brow presentation. The presenting part is high.
Lesbian 12, Videos. Deep in the pink zone. Next, using a small, mascara-like brush or swab, a doctor will take sample cells from the cervix. Community Home. Furry puss older caretaker 6 min Hide Nylons - Young college sorority lesbian amateurs are given physical 5 min Naughtylucy21 -
Vagina inspection. Get Info on This Essential Gynecological Tool
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Next, using a small, mascara-like brush or swab, a doctor will take sample cells from the cervix. This is done by very gently rubbing of the cervix with the brush or swab. Some women have no sensation when this is done, while some experience mild discomfort.
After the sample is taken, the speculum is removed gently from the vagina. Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. An Overview of the Pap Smear Test. Was this page helpful? Thanks for your feedback! Sign Up. What are your concerns? Continue Reading. What to Expect From Cervical Cryotherapy. Reasons to Undergo a Colposcopy. How to Perform a Vaginal Self-Exam.
Gross High School Prank Told Girls to Show Up for Vaginal Inspection
Failre to remove before inspection will result in an automatic FAIL. Students MUST complete a vagina inspection before the end of the year. A strong independent woman could've also pulled off such a feat. Cody-wan Kohouti codykohout Follow The prior lake senior prank is all over the internet Got a confidential tip? Submit it here.