WGU D117 Gynecological/WGU D117 Gynecological Exam Plan:updated Solution

1. **Preparation**: Typically, the patient is instructed to remove clothing from the waist down and provided with a gown to ensure privacy. Subsequently, the patient is instructed to recline on the examination table, positioning her feet within the stirrups. 2. **External Evaluation**: The gynecologist initially does an assessment of the external genitalia, encompassing the vulva and perineum. The observers seek indications of discomfort, discharge, lesions, or growths. 3. **Speculum Examination**: The speculum, a medical instrument, is carefully introduced into the vaginal canal. This enables the gynecologist to do an examination of the vaginal canal and the cervix. During this stage, a Pap smear may be conducted in order to do screening for cervical cancer. The gynecologist obtains a cervical cell sample by utilizing a tiny brush or spatula. 4. **Bimanual Palpation**: Following the removal of the speculum, the gynecologist proceeds to conduct a bimanual palpation. This procedure entails the insertion of one or two gloved and lubricated fingers into the vaginal canal, accompanied by the application of pressure on the lower abdomen with the other hand. This procedure enables the gynecologist to palpate the dimensions and morphology of the uterus and ovaries, thereby assessing for any potential irregularities. 5. **Rectovaginal Examination**: On occasion, a rectovaginal examination may be conducted. The gynecologist does a digital examination by inserting one finger into the vaginal canal and another into the rectal cavity. This enables the medical practitioners to conduct examinations for any irregularities located posterior to the uterus, between the space between the uterus and the rectum, or within the rectal region