ASSESSMENT OF FEMALE GENITALIA

Assessing Female Genitals

Infants

• Clitoris may be edematous and enlarge• May be a white vaginal discharge

Children• Parent approval• Adolescent – limited for inspection• Clitoris - common site for chancres• Stages of pubic hair development

during puberty

Elderly• Clitoris - common site for CA lesions• Vulva - atrophied, easily irritated• Ovulation and estrogen production

ceases• Prolapsed uterus• Uncomfortable for examination position

Responsibilities when assisting with the internal female genitals.

• Assemble equipment• Preparing the client• Supporting the client during the

procedure• Monitoring / Assisting the client after

the procedure• Documentation

Common type of vaginal infections• Monilial or yeast infections – thick,

white, curdy patchy discharge• Trichomonal infections – profuse,

watery, gray or green, odorous discharge.

• Bacterial infection – odorous discharges

Monilial Infection

Trichomonal Infection

ASSESSMENT OF MALE GENITALIA

Assessing Male Genitals

Infants• Foreskin (uncircumcised) – normally

tight

Children• Parent approval• The cremasteric reflex cause the testes

to ascend into the inguinal canal.• 5 stages of development

Elderly• Penis decreases in size / firmness.• Testosterone is produced in smaller

amounts• More time to achieve erection• Seminal fluid is reduced• Problems with beginning and ending

the urinary stream are usually result of prostatic enlargement.

Client Preparation

• Empty the bladder• Emotionally prepared• Explain the procedure• Eye contact with the client• Proper position• Companionship• Draping• Warm hands• Be gentle

Dorsal Recumbent

Lithotomy

Assessment of Anus, Rectum & Prostate

Inspection:• In side lying position, inspect the sacro-

coccygeal and perineal areas

Smooth, intact, free from feces. Anal mucosa is deeply pigmented; coars moist and hairless.

Palpation:• Lubricate gloved index finger of

dominant hand. As the sphincter relaxes, insert finger into the anus. Insert further and palpate as much rectal wall as possible in sequence. Palpate the surface of prostate region. Note the nodules, tenderness, size and shape.

Imperforate anus in infants