(3). You know you need to assess the cervical dilation, effacement, station, presenting part, and verify the status of the membranes so you let the patient know, "a Sterile Vaginal Exam
will let us see where your cervical dilation is." The patient is hesitant, you reassure them they
can let you know when they are ready and if they need you to stop at any time, you will, and
you will do the exam in between contractions. They agree and you wait for the contraction to
pass, invite them to let knees fall open and gently advance your fingers into the introitus to
assess the cervix, the dilation, effacement, station, and status of the membranes. You
document 5/90/-1/BOWI.
Given this information, please answer the following 2 questions
1) How will you explain in plain language to your patient what their situation is, be sure
to include the meaning of the exam 5/90/-1/BOWI.
2) Write out your SBAR that you will give to the attending Certified Nurse Midwife?