During the initial intrapartal assessment of a patient in early labor, the nurse performs a vaginal examination. The patient's partner asks why this pelvic exam needs to be done
The nurse should explain that the purpose of the vaginal exam is to obtain information about the: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Uterine contraction pattern.
2. Fetal position.
3. Presence of the mucous plug.
4. Cervical dilation and effacement.
5. Presenting part.
4,5
Rationale 1: A vaginal exam would not provide information about the uterine contraction pattern.
Rationale 2: Fetal position is assessed with Leopold's maneuvers.
Rationale 3: A vaginal exam would not provide information about the mucous plug.
Rationale 4: The vaginal examination of a laboring patient obtains information about the station of the presenting part and the dilation and effacement of the cervix.
Rationale 5: The vaginal examination of a laboring patient obtains information about the fetal presenting part.
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