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New nurse, cervical checks, HELP

Ob/Gyn   (2,646 Views 6 Comments)
by AmberK9386 AmberK9386 (New Member) New Member

301 Profile Views; 1 Post

I've been a nurse for nearly 9 years and I just recently moved to L&D 3 months ago. I have never felt 100% comfortable with my cervical exams, but I started feeling more confident and then I had a baby super low station, who I thought was 4 cm dilated and 50% effaced. The doctor was pissed the next morning and said she cervix was high and 1.5cm. It didn't help that the MD hsd stripped membranes eariler that day, i suplose. Low station, but high cervix, how is this possible and how do you know??? I can't stand another embarrassment with an MD. Help! I just want to be the best I can be!

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168 Posts; 4,857 Profile Views

The head can be sitting in front of the cervix so it can seem to be low. I hope that makes sense. I am a new grad and just got 20 weeks of training in L and D. I have been on my own for a month now and I completely understand the mystery of the cervix. I dont hesitate to ask someone to check behind me if I am not sure.

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MotherToPeanut has 4 years experience and specializes in LDRP; antepartum.

23 Posts; 1,495 Profile Views

Baby can be sitting low in the pelvis but the cervix can still be "high." If you're not absolutely positive, it may not be a bad idea to check if the cervix is posterior. I know OB nurses with 10 years experience who will still have another nurse verify their check if they're not certain. Don't feel bad.

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