North American Registry of Midwives (NARM) Practice Exam

What is included in the process of a sterile vaginal exam?

1. Cleaning the perineum and using sterile exam gloves

2. Performing the exam only with bare hands

3. Using disinfectant on the perineum

4. Examining without any prior cleaning

The correct answer is: Cleaning the perineum and using sterile exam gloves

The process of a sterile vaginal exam is crucial in maintaining safety and hygiene during examinations. The correct answer involves cleaning the perineum and using sterile exam gloves, which ensures that the area is free from infectious agents and that the examiner doesn't introduce any contaminants into the vaginal canal. This approach minimizes the risk of introducing bacteria that could lead to infection, making it essential that the perineum is cleaned properly and that the examiner uses sterile gloves throughout the process. This practice aligns with standard infection control protocols in healthcare settings to protect both the patient and healthcare provider. On the other hand, examining with bare hands or without any prior cleaning does not uphold the necessary hygiene standards, which are critical for patient safety. Additionally, using disinfectant on the perineum would generally not be appropriate, as certain chemicals might cause irritation or distress to the delicate tissues involved. Therefore, the practice of cleaning and using sterile gloves is vital for a comprehensive safe examination.