MATCHING The Vaginal Examination Is an Essential Component of Labor Assessment

question 42

Multiple Choice

MATCHING
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.

-Step 6

• 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.

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Definitions:

Pectinate Muscles

Internal ridges of myocardial tissue in the atria of the heart, particularly pronounced in the right atrium.

Chordae Tendineae

Tendinous strands running from the papillary muscles to the atrioventricular valves.

Endocardium

Innermost layer of the heart, including endothelium and connective tissue.

Semilunar Valve

Valves located at the bases of the aorta and the pulmonary artery that prevent the backflow of blood into the ventricles of the heart during contraction.