Question

CASE STU DY 1 linic, the provider instructs you that a Pap smear and Ms. Dobson in Room 1. CASE STUDY REVIEW QUESTION Describe your role in assisting with these procedures. a Pap smear and pelvic examination will be performed on d. May not be scanned, copied 0L aming All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publidly accesible website,in whole or in pa

Answer 1

Ans) 1) A Pap test, along with a pelvic exam, is an important part of a woman's routine health care because it may detect abnormalities that can lead to invasive cancer. Most cancers of the cervix can be detected early if women have Pap tests and pelvic examinations regularly.

Role of nurse in assisting pap smear and pelvic examination:

• Pre-procedure Nursing Actions for Pelvic Exam, Pap Smear, and HPV test:

- Advise the client that she should schedule the test when she is not menstruating.
- Inform the client that use of vaginal medications, douching, or sexual intercourse within the past 24 hours may alter test results.
- Have the client empty her bladder.
- Place the client in the lithotomy position and drape appropriately.
- Explain to the client how the procedure will be carried out.
- Have all necessary equipment available.

• Intra-procedure Nursing Actions for Pelvic Exam, Pap Smear, and HPV test:

- Remain with the client and provide support;
- Have ready the necessary equipment for the provider during procedure;
- Transfer specimens to slides and apply fixative to slides;

• Post-procedure Nursing Actions for Pelvic Exam, Pap Smear, and HPV test:

- Provide the client with perineal pad and tissues.

• Client Education for Pelvic Exam, Pap Smear, and HPV test

- Inform the client that minimal bleeding may occur from the cervix;
- Inform the client of the time frame for results to be available;
- Educate the client about the importance of following up with provider if results are abnormal.

2) Professionalism:

- Refers to the attributes and behaviors of a nurse as a representative of the profession and as a health care professional.

Attributes of Professionalism for gynaecology examination:

,- Clinical judgment
- Ethics
- Compartment
- Therapeutic communication

Roles of Professional Nurse:

- Teach
- Advocate
- Assess
- Manage care
- Collaborate with other members of health care team