Page 132 - ترم ثاني كتاب تمريض صحة الام الكتروني

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Value of auscultation of FHS

1- Sure sign of pregnancy

2- Diagnosis of multiple pregnancies

3- Diagnosis of intra-uterine fetal death

4- Diagnosis of fetal distress

5- Diagnosis of fetal presentation and position

6- follow up progress of labor

E- Pelvic examination

a-Eternal genitalia

Significant lesion during pregnancy as Bartholin’s gland abscess.

b- Vagina

Under hormonal influence of pregnancy, cervical secretion are

increased thus raising vaginal pH which changes the vaginal flora.

Organisms normally present because more abundant producing

discharge are:

- Candida albicance

- Trichomonas vaginalis

- Neisseria gonorrhea
c- Cervix- A pap smear for cytology and bacteriological examination

d- Uterus- Position and size to estimate the gestational age
e- Laboratory data

- Blood grouping

- Complete blood picture

- Complete urine analysis

- Glucose tolerance test

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