CNM Certified Nurse Midwife

Category - Primary Care

A nurse midwife is about to assess a female client through the use of vaginal speculum. When choosing the size of the speculum, the nurse midwife considers:

I.Age of the client
II.Size of the vagina
III.History of sexual intercourse
IV.Gravidity
  1. I and II only
  2. I and IV only
  3. I, II and IV
  4. All of the above.
Explanation
Answer: D - When choosing the size of the speculum, the nurse midwife should consider the age of the client, the size of the vagina, the client’s history of sexual intercourse and gravidity. The Graves speculum is used for examining adult women. The Pederson speculum, the narrower of the two, is used for young girls, virgins and postmenopausal women with vaginal atrophy.
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