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This is why as a Murse, lol. I would never personally do OB. I don't have any tricks try your middle finger perhaps ? Uhhh...i mean everything is gonna get stretched anyways so i supposed going elbow deep wouldnt really do much considering the patients going to shoot a baby out of there. Is it bad if I'm laughing while typing this ? lolol
Don't feel bad! It takes alot of practice. I've done OB for 13 years now and probably have the smallest hands, shortest fingers on staff. Many times I have to get someone with longer fingers to reach a cervix. Often I can just barely reach the outer os but can't grab it to pull it forward. Of 25 exams, however, surely somone's cervix was anterior enough for you to reach it. Just keep practicing!
Have you compared your hands to some of the other nurses on your unit? lady partsl exams are tricky to learn and if the woman doesn't have an epidural it is very uncomfortable for her to have someone "digging" around. I remember when I first started I had a hard time too and then someone told me "it's like sticking you finger in a coke bottle" and after that it became easier since I now had an image in my mind. Sometimes putting your opposite hand on the fundus and pushing down a little helps too. Ask your peers to let you exam a patient that they know is 3-4 cm. so you get the "feel" Good luck, keep trying.
besomebody
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Okay, this is a little embarrassing, but is it possible to not be able to do an adequate cervical exam for dilation and effacement due to having too short of fingers? I can't ever feel a cervix, or reach the "end" of the lady parts, my fingers seem too short. Also, I feel like my ring finger is ramming against the poor mama's perineum because I'm trying to get more length out the two fingers that are in there. I'm new to OB, it's my 4th week, and I'm starting to get worried. I've done about 25 exams. I never thought of my fingers as being short until I got to OB. Are there any tricks for those of us that don't have long fingers??:imbar