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Bartolin’s glands- palpated in labia majora through vagina
Assess Support of Pelvis Musculature
Nulliparous-thick and smooth
Parous-thin and rigid
Ask pt to bear down
Should be no bulging or straining or urinary incontinence
Practice Exam Question
You are assessing your 12 year old female client upon admission to the pediatric unit. While helping her undress you notice a small amount of bloody discharge on her underwear. While questioning her and her mother about her health history, she denies the onset on menarche. What should you do next?
A. Ask the mother to step out for a moment and ask the patient about the bloody discharge you observed.
B. Tell the patient and her mother that you saw the the blood on her underwear
C. Perform an internal speculum exam
D. Assume you were mistaken
A is the correct answer. A 12 year old girl may not admit to sexual activity or abuse in front of her parents.
B is incorrect as the mother may inhibit the pt or prevent her from reporting
C. is incorrect as you shouldn’t perform an internal exam but report your finding to the primary HCP