Vaginal examinations should be performed by the nurse under all of the following circumstances except:
1. an admission to the hospital at start of labor.
2. when accelerations of the FHR are noted.
3. on maternal perception of perineal pressure or the urge to bear down.
4. when membranes rupture.
2
1. Incorrect. Vaginal examinations are called for when the woman is admitted, when she perceives perineal pressure or the urge to bear down, when her membranes rupture, when significant change has occurred in her uterine activity, or when variable decelerations of the FHR are noted.
2. Correct. Accelerated FHR is a positive sign; variable decelerations, however, would me-rit a vaginal exam.
3. Incorrect. Vaginal examinations are called for when the woman is admitted, when she perceives perineal pressure or the urge to bear down, when her membranes rupture, when significant change has occurred in her uterine activity, or when variable decelerations of the FHR are noted.
4. Incorrect. Vaginal examinations are called for when the woman is admitted, when she perceives perineal pressure or the urge to bear down, when her membranes rupture, when significant change has occurred in her uterine activity, or when variable decelerations of the FHR are noted.
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