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Data Collection III

Data Collection III

The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...

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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

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Published on: August 25, 2014

A Rational and Standardized Prenatal Examination.

Ellery Sarosi¹, Luke A Gatta², Deborah R Berman³

¹Medical Student, University of Michigan Medical School, Ann Arbor, MI.

Obstetrical & Gynecological Survey

|June 16, 2023

Summary

This summary is machine-generated.

Reviewing essential prenatal physical exams is crucial as care evolves post-COVID-19. Key maneuvers like fundal height and pelvic exams remain vital for screening asymptomatic patients.

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Area of Science:

Obstetrics and Gynecology
Evidence-Based Medicine
Telemedicine Integration

Background:

Prenatal care is adapting post-COVID-19, necessitating a review of standard physical examination practices.
The rise of telemedicine challenges traditional in-person prenatal visit structures.
Ensuring comprehensive screening requires evaluating the efficacy of established examination techniques.

Approach:

A comprehensive literature review was conducted, synthesizing research, reviews, textbook chapters, databases, and clinical guidelines.
The review focused on the screening utility of physical examination maneuvers for various anatomical areas.
The goal was to propose an evidence-based approach to the prenatal physical examination.

Key Points:

An evidence-based prenatal exam for asymptomatic individuals includes checking the thyroid and lymph nodes, listening to the heart, measuring fundal height, and performing pelvic exams.
Pelvic examinations are essential for gonorrhea/chlamydia testing, assessing pelvimetry, and monitoring cervical changes.
Specific maneuvers retain significant screening value despite changes in healthcare delivery.

Conclusions:

Certain physical examination maneuvers remain critical for screening asymptomatic prenatal patients.
The findings support informed decision-making regarding the prenatal physical examination in the context of increased virtual care.
An evidence-based approach ensures continued effective screening despite evolving healthcare models.