The vaginal examination is an essential component of labor assessment. It reveals whether the patient is in true labor and enables the examiner to determine whether membranes have ruptured
This examination is often stressful and uncomfortable for the patient and should be performed only when indicated. Please match the correct step number, from 1 to 7, with each component of a vaginal examination of the laboring woman.
a. After obtaining permission, gently insert the index and middle fingers into the vagina.
b. Explain findings to the patient.
c. Position the woman to prevent supine hypotension.
d. Use sterile gloves and soluble gel for lubrication.
e. Document findings and report to the provider.
f. Cleanse the perineum and vulva if necessary.
g. Determine dilation, presenting part, status of membranes, and characteristics of amniotic fluid.
46. Step 1
47. Step 2
48. Step 3
49. Step 4
50. Step 5
51. Step 6
52. Step 7
46. ANS: D
47. ANS: C
48. ANS: F
49. ANS: A
50. ANS: G
51. ANS: B
52. ANS: E
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