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A Nurse Midwife Is About to Conduct Intravaginal Assessment Through

Question 16

Multiple Choice

A nurse midwife is about to conduct intravaginal assessment through the use of vaginal speculum on a G3P3 female client. Cells will be taken for cytologic studies, and cultures are to be obtained. Which of the following actions by the nurse midwife is the least appropriate?


A) The nurse midwife uses a water-based gel to lubricate the speculum.
B) The nurse midwife verifies that no vaginal medications were used before the procedure.
C) The nurse midwife rolls a sterile, cotton-tipped applicator on the vaginal wall below the cervix to collect cells from the vaginal pool.
D) Before withdrawing the speculum, the nurse midwife loosens the lever control. The blades are slowly closed, and the speculum is rotated.

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