The nurse is caring for a female victim of rape. To perform the proper evaluation, the nurse should place the patient in which of the following positions?
a. Sitting
b. Dorsal recumbent
c. Lithotomy
d. Knee-chest
ANS: C
Lithotomy is the position for examination of female genitalia. The lithotomy position provides for the maximum exposure of genitalia and allows the insertion of a vaginal speculum. Sitting does not allow adequate access for speculum insertion and is better used to visualize upper body parts. Dorsal recumbent is used to examine the head and neck, anterior thorax and lungs, breasts, axillae, heart, and abdomen. Knee-chest provides maximal exposure of the rectal area but is embarrassing and uncomfortable.
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