The Vaginal Examination Is an Essential Component of Labor Assessment

The vaginal examination is an essential component of labor assessment. It reveals whether the client is in true labor and enables the examiner to determine whether membranes have ruptured. The vaginal examination is often stressful and uncomfortable for the client and should be performed only when indicated. Match the correct step number, from 1 to 7, with each component of a vaginal examination of the laboring woman.

-Step 4

A) After obtaining permission, gently insert the index and middle fingers into the vagina.
B) Explain the findings to the client.
C) Position the woman to prevent supine hypotension.
D) Use sterile gloves and soluble gel for lubrication.
E) Document findings and report to the health care provider.
F) Cleanse the perineum and vulva, if necessary.
G) Determine dilation, presenting part, status of membranes, and characteristics of amniotic fluid.