Notre Dame University

COLLEGE OF HEALTH SCIENCES

Cotabato City

LABORATORY STUDY

PELVIC EXAMINATION

Name of Student:
Group No:B2 Date: 11-28-23
Clinical Instructor Area of Assignment:

CLIENT INFORMATION

Name: Jessa Rodriguez Sex: F Age: 35 AP:

Chief Complaint: Diagnosis:

DETERMIN NORMAL
ACTUAL VALUE INTERPRETATION SIGNIFICANCE NURSING RESPONSIBILITIES
ANTS VALUE
The uterus and During a pelvic A pelvic exam is a routine and
ovaries are examination, the common physical exam used to check Before:
normal in size gynecologist palpates a for signs of disease in female organs. - Explain the purpose of the pelvic
and location. The slightly enlarged and A healthcare provider will check the examination and provide information
uterus can be irregularly shaped uterus. vagina, uterus, ovaries, fallopian about the procedure.
moved slightly tubes and cervix. It can find any signs - Inform the patient about any necessary
without causing of ovarian cyst, some sexually preparations, such as removing jewelry
pain. transmitted infections, growths of - Monitor vital signs
the uterus or early-stage cancer.
The vulva, During:
vagina, and - Ask the patient to relax while the
cervix look procedure is going on
normal with no - Follow the movement of the patient as
signs of she rises
infection, - Provide support and guidance only, not
inflammation, or force
other
abnormalities. After:
- Monitor patient
Glands around
the opening of
your vagina
(Bartholin's
glands) or urethra
(Skene's glands)
are not swollen
or inflamed.

No masses
(nodules) of
abnormal tissue
are felt in the
area between the
uterus and
rectum or in the
ligaments that
attach to the
uterus to hold it
in place. No
fibroids are felt.

There is no
pelvic pain or
tenderness.
No hardening of
tissue is felt.

Notre Dame University

COLLEGE OF HEALTH SCIENCES
Cotabato City

LABORATORY STUDY

ULTRASOUND
 Name of Student:
Group No:B2 Date: 11-28-23
Clinical Instructor Area of Assignment:

CLIENT INFORMATION

Name: Jessa Rodriguez Sex: F Age: 35 AP:

Chief Complaint: Diagnosis:

DETERMIN NORMAL
ACTUAL VALUE INTERPRETATION SIGNIFICANCE NURSING RESPONSIBILITIES
ANTS VALUE
During The ultrasound reveals Ultrasound examination is the basic Before:
ultrasound multiple, well-defined imaging test confirming the existence Explain the purpose and provide
examination, masses within the uterine of fibroids, allowing the information about the procedure
leiomyomas wall, consistent with differentiation of myomas with -Explain that sight discomfort may be
usually appear as fibroids. adenomyosis, polyps, ovarian felt
well-defined, tumours, and pregnant uterus.
solid, concentric, During:
hypoechoic
masses that cause -
a variable
amount of
acoustic
shadowing.
 Notre Dame University
COLLEGE OF HEALTH SCIENCES
Cotabato City

LABORATORY STUDY

BLOOD TESTS

Name of Student:
Group No:B2 Date: 11-28-23
Clinical Instructor Area of Assignment:

CLIENT INFORMATION

Name: Jessa Rodriguez Sex: F Age: 35 AP:

Chief Complaint: Diagnosis:
DETERMIN NORMAL
ACTUAL VALUE INTERPRETATION SIGNIFICANCE NURSING RESPONSIBILITIES
ANTS VALUE
Jessica undergoes blood . This will test your complete blood Before:
red blood cell tests, including a complete count (CBC) to check for anemia, and -Explain test procedure
Adult Men: 5 to blood count, to assess for it will check for blood disorders or -Explain that sight discomfort may be
6 million anemia resulting from thyroid issues. felt
cells/mcL Adult heavy menstrual bleeding.
Women: 4 to 5 After:
million cells/mcL
White blood cell
4,500 to
10,000 cells/mcL
Platelets
140,000 to
450,000
cells/mcL
Hemoglobin
(varies with
altitude)
Adult
Men: 14 to 17
gm/dL Adult
Women:12 to 15
gm/dL