2. Is obtaining sample of exfoliated cell
(dead cells that are shed) @ simple test
to look at cervical cells
The specimen should be obtained 2
weeks after the first day of LMP taken by
brushing or scraping.
3. To detect early cancer of the cervix
To determine estrogen activity related to
menopause or endocrine abnormalities.
4. All women have initial pap smear test no
later than 21 years old
3 years after onset of sexual intercourse
After initial test, have annually or
biannually
After age 30, because screened for 2-3
years unless has high factor developing
cervical cancer
5. Vulva swabbing set •Container
Vaginal speculum - Mask
Receiver -Vaginal
speculum
Savlon -Torch light
Perianal drapes -Cytobrush,Thin
prep
Sterile glove -Incopad
KY jelly -Swab sticks for HVS
Specimen Form
10. Nurse should advise patient to make an
appointment other than during
menstruation
Before appoiment :
1.Avoid intercourse for 2 days
2.Refrain from douching for 1 day
3.Cease the use of vaginal medication
for at
least 48 hours.
11. 1. Inform and explain the procedure to
patient
2. Advice patient to void.
3. Provide privacy.
4. Assistant position Lithotomy to her on
examining table
5. Drape patient permit minimal exposure.
12.
13.
14.
15.
16. Normal: negative means there is no identifiable
infection.
ASCUS :presence of a high-risk infection with HPV.
Low-Grade changes: frequently due to infection with
HPV, which in some instances can be a risk for
cervical cancer.
High-Grade changes: very atypical cells that may
result in cancer
Squamous cell carcinoma or adenocarcinoma:
cancer is evident and requires immediate attention.
17. 1.Tell patient to inform any excessive
bleeding after procedure(a little bid
bleeding is normal.)
2.Instruct patient to follow up the
procedure at least annually or
biannually.(Depend on results)