Assessment of Reproductive System
Ms Tarika Sharma
Female Genitals and Inguinal Area
Introduction
The examination of genitals and reproductive tract of
women includes assessment of the inguinal lymph nodes
and inspection and palpation of the external genitals.
Provide for client privacy. Request the presence of another
woman if desired, required by agency policy or requested
by the client.
Assessment Normal Abnormal
1 Inspect the distribution, Wide variations can be Scant pubic hair (may
amount and characteristics of found indicate hormonal
pubic hair. problem)
2 Inspect skin of the pubic area Pubic skin intact, no Lice, lesions, scars,
for parasites, inflammation, lesions. fissures, swelling,
swelling and lesions. Skin of vulva area erythema, excoriations,
slightly darker than the varicosities
rest of body.
3 Inspect the clitoris, urethral No inflammation, Presence of
orifice and vaginal orifice swelling and discharge. inflammation, lesions,
when separating the labia swelling and discharge
minora.
Assessment Normal Abnormal
4 Palpate the inguinal lymph No enlargement or Enlargement or
nodes. Use the pads of the tenderness tenderness
fingers in a rotary motion,
noting any enlargement or
tenderness.
Document the findings.
Male genitals and Inguinal Area
Assessment Normal Abnormal
1 Inspect the distribution, Wide variations can be Scant pubic hair
amount and characteristics of found
pubic hair.
2 Inspect the penile shaft and Penile skin intact. Presence of lesions,
glans penis for lesions, Foreskin easily nodules, swellings or
nodules, swellings and retractable from the inflammation.
inflammation. glans penis.
3 Inspect the urethral meatus Urethral meatus is Inflammation ,
for swelling, inflammation positioned at the tip of discharge
and discharge, palpate the the penis. Hypospadiasis
penis for tenderness, Epispadiasis
thickning and nodules.
Assessment Normal Abnormal
4 Inspect the scrotum for Scrotal skin is darker in Discoloration,
appearance, size and color than that of the tightening of skin
symmetry rest of the body and is (edema or mass)
loose. Marked asymmetry in
size.
5 Palpate the scrotum to assess Enlarged testicles with
status of underlying testes, uneven surface
epidymis and spermatic cord. (possible tumor)
Palpate both sides
simultaneously for
comparative purposes.
6 Inspect both inguinal areas No swelling or bulges. Swelling or bulge
for bulges while the client is possible inguinal or
standing if possible. femoral hernia.
Document findings.
The Rectum & Anus
Introduction
Rectal examination, an essential part of every
comprehensive physical examination involves inspection
and palpation.
ASSESSMENT NORMAL DEVIATION
FINDINGS FROM NORMAL
Inspect the anus and surrounding tissues for Intact perianal skin. Presence of fissures,
color, integrity and skin lesions. ulcers inflammation.
Ask the client to bear down as though Protruding
defecting. Bearing down creats slight hemorrhoids, lumps,
pressure on the skin that may accentuate tumors or rectal
rectal fissures, rectal prolapse, polyps and prolapse
internal hemorrhoids.
Describe the location of all abnormal
findings in terms of a clock.
Palpate the rectum for anal sphincter Anal sphincter has Hypertonicity (anal
tonicity, nodule, masses and tenderness. good tone. fissure)
Hypotonicity (after
anal surgery,
neurologic
Document the findings. deficiency)
