The nurse assists the midwife during a vaginal examination of the client in labor. What does the nurse recognize as the primary reason that a vaginal exam is done at this time?
a. To apply internal monitoring electrodes
b. To assess for Goodell's sign
c. To determine cervical dilation and effacement
d. To determine strength of contractions
ANS: C
The primary purpose of a vaginal exam during labor is to determine cervical dilation and effacement and fetal descent. Goodell's sign is assessed in early pregnancy, not during labor. Although application of monitoring electrodes is done by entering the vagina, it is not the primary purpose of a vaginal exam. Vaginal exams are not done to determine the strength of contractions.
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a. Colon b. Rectum c. Anus d. Villi
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