To perform bimanual palpation, the nurse or healthcare professional typically follows these steps:
1. Preparation: Ensure the patient is comfortable and explain the procedure to them. Obtain informed consent before proceeding. 2. Positioning: The patient is usually positioned in a supine or lithotomy position. 3. Technique: One hand is placed on the abdomen while the other hand is inserted into the vaginal canal (for female pelvic exams). The hands work together to palpate the internal organs by applying gentle pressure. 4. Assessment: The examiner assesses the size, shape, consistency, and mobility of the organs. They also look for any signs of pain or tenderness that could indicate underlying issues.