8/7/2019 Sceening test
1/23
8/7/2019 Sceening test
2/23
Purpose of screening test
To check for cervical changes.
Finding and treating abnormal cells to preventcervical cancer.
Helps to detect cancer early where treating is
more likely to be effective.
8/7/2019 Sceening test
3/23
Pap smear
Is sometimes called Pap test or cervical smear.
It is a simple test to look at the cervical cells.
The test is not painful.
Is usually done in a clinic during a pelvic
exam.
8/7/2019 Sceening test
4/23
Equipments
Vulva swabbing set
Bed pan
ReceiverSavlon
Perineal drape
KY jelly
Mask
Vaginal speculum
Torch lightCytobrush, Thinprep
Incopad
Swab sticks for HVS
8/7/2019 Sceening test
5/23
What they do in Pap smear
The doctor scrapes a small sample of cells from the
ectocervix ( cervical os) and the smears the cells
on a glass slide and look under the microscope.
New type of Thin-Prep test (liquid-based Pap test),
the cells are rinsed into a small container of liquid.
8/7/2019 Sceening test
6/23
8/7/2019 Sceening test
7/23
8/7/2019 Sceening test
8/23
8/7/2019 Sceening test
9/23
Pap smear.
A special machine puts the cells onto slides. For both
types of pap smear test a lab technologist checks the
cells under microscope for abnormalities.
Women should begin having Pap tests the years after
they begin having sexual intercourse
Pap test at least once every 3 years.
8/7/2019 Sceening test
10/23
Pre-procedure
Inform and explain the procedure to patient
Ask patient to void before positioning her on the
examining table
Drape patient to permit minimal exposure
Adjust light for maximum focus
8/7/2019 Sceening test
11/23
Position of pt. Dorsal
8/7/2019 Sceening test
12/23
8/7/2019 Sceening test
13/23
8/7/2019 Sceening test
14/23
8/7/2019 Sceening test
15/23
Other than Pap smear
Colposcopy
Cervical biopsy
HPV test
8/7/2019 Sceening test
16/23
What is a Colposcopy?
Colposcopy means an exam with a special
microscope called colposcope.
This microscope does not touch or go inside patient.
It allows the doctor to look at the cervix under
magnification.
A speculum similar to that for a Pap test will be used
to do this.
8/7/2019 Sceening test
17/23
Why is it done?
The reason for Colposcopy is because abnormal cells
were found on patients Pap test.
This does not mean patient have cancer, It does
mean these cells could turn into cancer in some
women if not treated.
8/7/2019 Sceening test
18/23
How is it done? The doctor will spray patients cervix with a weak
vinegar solution.
The vinegar will make any abnormal area look white.
Patient will feel a mild stinging sensation when thevinegar is sprayed on the patients cervix
The doctor may take a tiny sample (biopsy) of thisarea. If a biopsy is done, patient may feel a periodtype cramp.
8/7/2019 Sceening test
19/23
8/7/2019 Sceening test
20/23
8/7/2019 Sceening test
21/23
Cone biopsy
8/7/2019 Sceening test
22/23
HPV test
Human papillomavirus
HPVs establish productive infections only in
the stratified epithelium of the skin or mucous
membranes.
Lead to cancers of the cervix, vulva,vagina,
and anus in women or cancers of the anus
and penis in men.
8/7/2019 Sceening test
23/23
Nursing responsibility Nurses should give health education to patient
Nurses should prepare patient emotionally and alsopsychologically
Nurses should be able to identify the apparatus and also theinstrument for the test
Nurses should know the way of insertion of instrument and theway the test is carried out
Nurses should know the interventions before ,during, and after theprocedure
Nurses should be extra careful if patient is bleeding