To assess the muscular tone and texture of the perineum using your dominant hand, you would place your
a. index finger in the urethra and instruct the patient to squeeze the vaginal muscles.
b. index finger on one side of the perineum and the thumb on the other.
c. thumb anterior to the perineum and index finger posterior to the perineum.
d. thumb in the vagina and index finger posterior to the perineum.
C
After evaluating the muscle strength and tone of the vaginal introitus, withdraw your finger until you can place only your dominant index finger posterior to the perineum and place the dominant thumb anterior to the perineum. Assess the perineum between the dominant thumb and index finger for muscular tone and texture. Do not place a finger into the urethra, and do not place one finger on one side of the perineum and one on the other side. Do not place the thumb in the vagina.
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