Today our topic of discussion is Client Preparation for Maternal and Child Health.
Client Preparation for Maternal and Child Health
Client Preparation
- Explain to the client that the purpose of the test is to visualize the uterus and tubes for any abnormalities or to determine the patency of the fallopian tubes
- Explain the procedure to the client. The procedure may slightly differ in your institution, so cheek before explaining to the client
- Check to see that the consent form is signed. Ask the client when she had her last menstrual period. Record the information. If pregnancy is suspected, the procedure should not be done
- Administer pre-testy orders- enema, douche or sedative. If the clients come from home, cheek that she has prepared herself as ordered
- Inform the client that the test takes about 15-30 minutes Encourage the client to ask questions and to express concerns. Be a good listener. Refer questions and concerns you cannot handle adequately to other appropriate health professionals
- Check for signs and symptoms of infection following the test such as fever, increased pulse rate and pain.
Procedure
- A consent form for hysterosalphingography should be signed by the client
- Food and fluids are not restricted
- A cleansing enema and douche may be ordered prior to the test
- A mild sedative (e.g. diazepam (valium)] may be ordered prior to the test
- The client lies on the examining table in the lithotomy position.
- The gynecological and the contrast substance are injected into the cervix under fluoroscopic control. X-ray is taken throughout the 15-30 minute procedure.
Factor Affecting Diagnostic Results
Tubal spasm may causes tubal stricture, which could give the appearance of a partial or complete tubal obstruction in a normal fallopian tube.
Health Teaching
- Inform the client that she may experience some abdominal cramping and some dizziness.
- Explain that this is normal but that if there is continuous and severe cramping, she should tell the examiners Inform the client that there may be some bloody discharges for several days; she should notify her health care provider
- Instruct client to call the healthcare provider if a high fever is present.
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