During an Internal Examination of a Woman's Genitalia, the Advanced

During an internal examination of a woman's genitalia, the advanced practice nurse will use which technique for proper insertion of the speculum?

A) The woman is instructed to bear down, and the speculum blades are opened and applied in a swift, upward movement.
B) The blades of the speculum are inserted on a horizontal plane, turning them to a 30-degree angle while continuing to insert them.The woman is asked to bear down after the speculum is inserted.
C) The woman is instructed to bear down, the width of the blades is horizontally turned, and the speculum is inserted downward at a 45-degree angle toward the small of the woman's back.
D) The blades are locked open by turning the thumbscrew.Once the blades are open, pressure is applied to the introitus, and the blades are inserted downward at a 45-degree angle to bring the cervix into view.