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