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- Jan 24, '10 by newrn2010I am only a few shifts into this but, while I was doing the exam the RN asked me questions about what I was feeling so WHILE MY FINGERS WERE STILL IN THERE my brain registered what I was feeling and what she was saying. I have also been told by midwife from UK to have an RN hold my hand on top of hers while doing exam (pt has epidural mind you). I hear it takes practice but it will come, you must do them over and over to get good. Like any other skill.
- Jan 25, '10 by kloneQuote from 2bRN2010Do you know what the cervix feels like ordinarily? Sorry if it is TMI, I have an IUD and you need to check placement monthly, I didn't know what to look for, my doc told me a cervix in it's normal state feels like the tip of a nose, and that is exactly what it does feel like. I think if you find it once in a woman that is not fully effaced, it will make it easier. Good Luck!
I agree with this (except that I disagree a normal closed cervix feels like a nose - IMO it feels like closed, pursed lips). The best way to know what you're feeling is to get to know it on your own body. Feel your own cervix (if you have one). Well before nursing school, I checked my own cervix regularly as part of natural family planning.
- Jan 25, '10 by NurseInTexas12Don't be discouraged! Learning to check cervixes is unique to L&D, so everybody understands that you'll need lots of help learning to do SVEs at first.
-A patient who has internal monitors can be your best friend. You know that the IUPC and FSE had to go through the cervix to be placed, so if you just follow them up with your fingers, you can't miss the cervix.
-Ask any nurse who is going to check her patient if you can go with her. Don't limit your cervix checks to your own patients with your preceptor. The more cervixes you check, the more confident and accurate you'll get. Most nurses will be happy to help you!
It takes time to learn, and it can even be tricky for those of us who have experience sometimes. Your "ah ha!" moment will come, so just keep on practicing.