To obtain an endocervical smear,you should insert the Cytobrush through the speculum into the cervical os approximately 1 cm and

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Using your dominant hand,insert the Cytobrush or cervical broom through the speculum into the cervical os approximately 1 cm.Many patients find that this procedure causes a cramping sensation,so forewarn your patient that she may feel discomfort during this element of the assessment.Rotate the Cytobrush between your index finger and thumb 360° clockwise,then counterclockwise.Keep the Cytobrush in contact with the cervical tissue.If you have to use a cotton-tipped applicator instead of a Cytobrush,leave the applicator in the cervical os for 30 seconds.If you use a cervical broom,rotate the broom 6 times clockwise.Do not use a forward and backward motion.

To Obtain an Endocervical Smear,you Should Insert the Cytobrush Through