AIIMS Delhi NO - 2018
Obstetrics & Gynaecology
Medium
Which position is given during vaginal Examination?
Appeared in: AIIMS Delhi NO - 2018
Explanation
- The dorsal position is the correct choice as it is the foundational position for gynecological exams.
- The image specifically shows the lithotomy position, which is a variation of the dorsal position where the patient lies on their back with feet in stirrups.
- This position provides the best visualization and access to the female genitalia, rectum, and urinary tract, making it ideal for vaginal examinations, Pap smears, and other pelvic procedures.
Why Other Options Were Wrong
- Option A: The supine position, where the patient lies flat on their back with legs straight, does not provide adequate access or visualization of the perineal area for a vaginal examination.
- Option B: The prone position involves lying on the stomach, which makes the vagina completely inaccessible for examination.
- Option C: The left lateral (or Sims') position involves lying on the side. While it can be used for some rectal or vaginal procedures, it is not the standard or optimal position for a routine vaginal examination.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Patient positioning for gynecological examinations as background academic context rather than a clinical decision trigger.
- Correct patient positioning is a fundamental nursing responsibility that directly impacts the accuracy of examinations and the success of procedures.
- A nurse's role includes not only assisting the patient into the correct position but also ensuring their comfort, safety, and dignity throughout the process by using drapes and clear communication.
- What if the patient has severe hip arthritis and cannot assume the lithotomy position? The nurse and provider might opt for a modified dorsal recumbent or Sims' position, with the understanding that visualization may be compromised. The nurse's role is to find the best possible alternative while ensuring patient safety.
How to Approach the Question
- First, identify the core question, which asks for the standard position for a vaginal examination.
- Next, analyze the provided image. The image shows a patient on her back with her feet in stirrups, which is the lithotomy position.
- Evaluate the given options: Supine, Prone, Left lateral, and Dorsal.
- Eliminate clearly incorrect options. Prone (on stomach) and Left lateral (on side) are unsuitable for a vaginal exam.
- Differentiate between the remaining options. Supine (flat on back) offers poor access. Dorsal is a broader category that includes the dorsal recumbent and lithotomy positions, both of which involve lying on the back with knees bent.
- Since the lithotomy position shown in the image is a type of dorsal position, and it's the standard for this exam, 'Dorsal' is the most accurate choice among the options.
Concept Tested & Keywords
- Concept Tested: Patient positioning for gynecological examinations.
- Stem keywords: position, vaginal Examination
- Lead-in keywords: Which
- Clinical cues: The image shows a patient in the lithotomy position, which is a key visual clue.
Question ID
QvzgSxPdLMkT0HgvVZ3qvE
Reference Book
E6 Nursing Fundamentals Taylor pp. 210-212, 382-384
E6 Nursing Fundamentals Potter Perry 12e Part 3 p. 164-166
Practise the full AIIMS Delhi NO - 2018
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Examination of a Gynecological Patient Questions
- The patient will be positioned as followed for vaginal examinations:
- The position used for most of the gynecological procedures?
- A 27-year-old female, 16-week pregnant, has 2-year-old twins, who were born at 39 weeks gestation and a 5-year-old who was born at 40 weeks, she had…
- Which position a pregnant woman must be given for blood pressure monitoring during last trimester?
- During pelvic examination vaginismus is usually seen. It is?
- The nurse is going to take perineal anus examination in a woman who had normally delivered a new born 2 days before. The nurse should place the woman…
- Spinnbarkeit appearance of cervical mucus means?
- A woman came with complaining of painless uterine bleeding, nurse action involves?
- Which of the following vaginal change facilitates delivery?
- What is the position of the fetal heart in a right occipito anterior position?& x20;
More AIIMS Delhi NO - 2018 Questions
- Another tentative diagnosis made for the client is Wernicke's Encephalopathy. If the client has this, the nurse anticipates that the first physician'…
- A 35-year-old man was in an automobile accident with an admitting diagnosis of a head injury. He has a Glasgow Coma Scale score of 4. Upon MRI and CT…
- A 28-year-old male client is admitted to the hospital for a suspected brain tumor. While assessing this client, the nurse would keep in mind that the…
- Following admission to the hospital, a diagnosis of increasing intracranial pressure was made. The nursing intervention appropriate in the care of th…
- The nurse has orders to administer phenytoin (Dilantin) 100 mg IV as an anticoagulant. The priority action while administering this drug is to:
- The most appropriate nursing action for a depressed patient who does not want to join a group is to:
- The client is to take lithium regularly after she is discharged from the hospital. The nursing care plan includes discharge planning. The most import…
- A patient is taking a proper diet as prescribed for bulimia nervosa, but the patient's weight is not gaining. Which nursing action is appropriate?
- Identify the size of the cannula shown here?& x20;
- Identify the following image? & x20;