Pelvic Exam Question

  1. 0
    I'm an experienced FNP, have done many pelvic exams, rarely have to repeat a pap for a bad specimen. I do an average of 1-2 a day.

    I also try to give as gentle a pelvic exam as possible.

    However, on occasion, not often, I have a problem. I can get the cervix into the ends of the speculum, but then when I'm done, I can't get the speculum to "let go" of the cervix, no matter what I do.

    I get frustrated and of course it's uncomfortable if not outright painful for the patient.

    I hate this- I wouldn't want that to happen to me as a patient- but I can't figure out what I'm doing wrong!! Help!

    I use the disposable plastic speculum with the light in the handle, if that makes any difference. I usually use a medium but will use a small or a large if necessary. It probably happens with all sizes.

    Get the hottest topics every week!

    Subscribe to our free Nursing Insights newsletter.

  2. 1 Comments...

  3. 0
    I have had this problem once or twice - particularly on exams that take a little longer and things sort of "settle into" the speculum.

    Use an OB swab to push the cervix gently out of the speculum during removal. I find that this works very well and the patient is often not even aware of it.


Nursing Jobs in every specialty and state. Visit today and Create Job Alerts, Manage Your Resume, and Apply for Jobs.

A Big Thank You To Our Sponsors
Top