NURS 5220:NURS 5220 Female Genitalia Assessment : Female Genitalia Assessment Study Guide:Updated A+ Score Solution

Drape / gown Open in front; disrobe patient completely Speculum Disposable plastic OR metal (Graves/Pedersen) with light attachment Gloves Correct size; double-glove dominant hand (saves time at rectovaginal step) Lubricant Water-soluble (e.g., K-Y) — avoid oil-based; disrupts cultures Light source Gooseneck lamp, speculum-integrated light, or table lamp Pap smear supplies ThinPrep: spatula + cytobrush → canister with fixative (SurePath/ThinPrep) Slide method: spatula → glass slide → fixative spray immediately Culture supplies GC/Chlamydia swab, HPV (via ThinPrep or separate), HSV swab in medium RPR Swab or requisition form for syphilis screening Guaiac card For stool testing after rectovaginal exam 2. PATIENT POSITIONING Position Description Use When Lithotomy Heels in stirrups; pelvis at table edge; hips/knees flexed Standard — preferred Knee-chest Patient on knees and chest; no stirrups required No stirrups available Diamond Supine; both knees flexed; soles together forming diamond Can't use stirrups M-shape Hips flexed; heels apart; no knee flexion Limited mobility Thigh stirrups Thigh supported; lower legs hang freely below knee Comfort variant Left lateral (modified) Side-lying; speculum inserted while on side Cannot lie supine NURS 5220 Female Genitalia Assessment Study Guide3. EXAM PEARLS