Performing of bi – manual examination.
Task for student : perform for patient vaginal examination. In the same time to describe for examiner what are you doing.
Time for demonstration 5 minutes.
Information for examiner :assess, please, actions of student on the every low given point.
| 1. | Explain for patient essence of examination.. | 1 | 0,5 | 0 |
| 2. | Put woman on gynecological armchair. | 1 | 0,5 | 0 |
| 3. | Wash our hands and dry with disposable towel. Take on a sterile gloves. | 1 | 0,5 | 0 |
| 4. | Using of index finger and middle finger of the left hand , take away of labia major , in vagina introduce two fingers ( in the beginning – the middle finger , that press a perineum , after that index finger). Make examination of uterus , its size, site, consistence, mobile , painful). | 1 | 0,5 | 0 |
| 5. | Make examination of uterine adnexa , beginning with healthy side, We check its size, position , consistence, form ,painful and etc.. | 1 | 0,5 | 0 |
| 6. | Choose the particularity of vaginal fornecies ( smoothing, hardness, going away, painful, fluctuation.). | 1 | 0,5 | 0 |
| 7. | Take away fingers from vagina, assess the character of discharges( bloody, purulent, mucous). | 1 | 0,5 | 0 |
| 8. | Take away of gloves , through away its in special container for utilization and wash our hands.. | 1 | 0,5 | 01 |
| 9. | Make a notices at the chart of out patient department patient or case history.. | 1 | 0,5 | 0 |
| 10 | During a procedure explain for patient our actions , using temper and friendly tone , make possibility to ask questions.. | 1 | 0,5 | 0 |
Maximum quantity of balls – 10
Collection of anamnesis and common examination of the pregnant woman, parturient.
Task for the student:: collect, pleases, of a pregnant woman anamnesis. Describe, simultaneously, what You are doing.
The time of demonstration is5 minutes.
Information for the examine:assess, please, the student’s actions, separately, on the every below given item.
| № | Criterion of the assessment. | 1,0 | 0,5 | 0 |
| 1 | To greet a pregnant woman ,parturient respectfully and benevolently. To present yourself. To explain confidentiality of a information. | 1,0 | 0,5 | 0 |
| 2 | To collect the passport’s date: name, surname, age, address, profession, having a family. | 1,0 | 0,5 | 0 |
| 3 | Ask and check the main complains , we should know the reason of complains , factors , that increase or make a weak this complains. | 1,0 | 0,5 | 0 |
| 4 | Ask of anamnesis of life. Make shoe in chronological order , beginning with childhood, which types of diseases and operations she had. In the cases of chronic diseases , make clear how long it is , periodic supervision by specialist , date of the last acute stage. We have interest rather a woman was sick with virus hepatitis , tuberculosis, sexual transmitted diseases , her epid, surrounding. Has band, his age, condition of health.. | 1,0 | 0,5 | 0 |
| 5 | Special anamnesis : collect od information about menstrual function ( beginning of menstruation( menarche ), when menstruation became stable, duration , in how many days repeated , amount, heavy, moderate, scanty , date of the last menstruation. | 1,0 | 0,5 | 0 |
| 6 | Make shoe the age of sexual life starting , if she married or not , quantity of marriages. Date about gynecological diseases ( which types ,when). | 1,0 | 0,5 | 0 |
| 7 | Collect of obstetrical anamnesis , previous pregnancies at the chronological order, its results, body mass of children after delivery. Complications in labor ( when, which).. | 1,0 | 0,5 | 0 |
| 8 | Determine the duration of this pregnancy , term of pregnancy and date of the first visit to female consultation , date about of pregnancy duration according to trimesters.. | 1,0 | 0,5 | 0 |
| 9 | Examine the color of skin and visible mucous , presence of peripheral edema , condition of veins on the low extremities. Check a blood pressure, pulse rate , performing of a heart, lungs auscultation, palpation ,of abdomen , liver, percussion of liver if it is necessary. | 1,0 | 0,5 | 0 |
| 10 | On the way of procedure explain our actions for pregnant woman / parturient using a friendly and temper tone, give a possibility to ask a questions. | 1,0 | 0,5 | 0 |
Maximum quantity of collected balls – 10
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External obstetrical examination
(pelviometry)
Task for the student:: perform for this pregnant woman, parturient measurement of external sizes of pelvis. Describe, simultaneously, what You are doing.
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The time of demonstration is 5 minutes.
Information for the examine:assess, please, the student’s actions, separately, on the every below given item.
| 1 | Explain for pregnant woman, parturient the essence of examination , Wash a hands, dry with disposable towel , Take on a disposable gloves. | 1 | 0,5 | 0 |
| 2 | Put a pregnant woman , parturient, on the high . hard coach with putting together and extended at knee, and cox – femur articulations legs. | 1 | 0,5 | 0 |
| 3 | Standing or sitting with a face to a pregnant woman, parturient to the right. Branches of pelviometer аre taken with the large and finger indexes . so the fingers should be very closed to the bottoms of pelviometer.. | 1 | 0,5 | 0 |
| 4 | Bottoms of pelviometer are very closed to the external edges or the spine iliac anterior one and another side , checking the diameter between them distantia spinarum, (at norm 25-26sm). | 1 | 0,5 | 0 |
| 5 | After that put bottoms of pelviometer from spines to the external crist of iliac and check the biggest distance – distantia cristarum (at norm 28-29sm). | 1 | 0,5 | 0 |
| 6 | Ask woman to make movements with legs , find the more upper part of tuber femoral bones and press to them bottoms of pelviometer , checking the distantia trоchanterica (at norm 30-31 sm). | 1 | 0,5 | 0 |
| 7 | After that ask a woman to lie on the one side , flexing the low leg at articulation cox – femur and knee’s, upper one to extend and stretch.. | 1 | 0,5 | 0 |
| 8 | Bottom of the one branch put on the middle of upper - external edge of symphysis , another one press to the sacrum’s fossa and measure of external conjugate (20-21sm). | 1 | 0,5 | 0 |
| 9 | Solovjov index ( circumference of radial articulation ) measure with belt. This index in norm is 14, 5- 15см. The true conjugate is measure by minus from previous size 9 sm.. | 1 | 0,5 | 0 |
| 10 | On the base of receiving date we will make a conclusion about individual particularity of bone’s pelvis of woman. Take away gloves and through away at the special container. Wash our hand. | 1 | 0,5 | 0 |
Maximum quantity of balls – 10
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