Page 131 - ترم ثاني كتاب تمريض صحة الام الكتروني

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2- Mouth and teeth

3- Tongue and tonsils

4- Neck for thyroid gland, lymph gland and neck veins for pulsations

5- Chest and heart

6- Lower limbs for edema and varicose veins

D- Abdominal examination

• Inspection

1- Size of abdomen: if excessively large or small

2- Shape and contour as pendulous abdomen

3- Scars of operations
4- Presence of hernias

5- Pigmentation as linea nigra

• Palpation

- Fundal level

- First maneuver (fundal grip)

- Second maneuver (umbilical grip)

- Third maneuver (first pelvic grip)

- Fourth maneuver(second pelvic grip or pelvic palpation)

• Ausculation

- The fetal heart is heard by the fetal or pinard stethoscope or by the Doppler

stethoscope (Sonicaid)

- It is best heard towards the back in vertex and breech and towards the chest in

face presentation.

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