Which maneuver is performed after insertion?

• A. Rotate To Horizontal And Apply Posterior Pressure
• B. Rotate To Vertical And Apply Anterior Pressure
• C. Keep The Speculum Tilted And Do Not Apply Pressure
• D. Rotate To Diagonal And Apply Lateral Pressure

Answer: (A)

The main idea is how to optimize visualization of the cervix after inserting a vaginal speculum. Once inside, you rotate the instrument so the blades sit horizontally, which aligns with the floor and opens the vaginal canal for a clear view of the cervix. Then apply gentle posterior pressure on the posterior vaginal wall to bring the cervix forward into view and to keep the anterior vaginal wall from obscuring it. This combination—horizontal orientation and posterior retraction—facilitates inspection and specimen collection.

Rotating to vertical and applying anterior pressure would misalign the blades and push structures away from the view. Keeping the speculum tilted without adjusting and applying no pressure doesn’t improve exposure. Rotating diagonally with lateral pressure likewise fails to optimize the field of view.