Final answer:
During the internal genitalia exam, the NP does not perform the speculum exam before the bimanual exam. The speculum exam comes after the bimanual exam, where a speculum is inserted into the vagina to visualize the cervix and perform further examination if needed.
Step-by-step explanation:
The correct answer is B. False. During the internal genitalia exam, the NP typically performs the bimanual exam before the speculum exam.
The bimanual exam involves the healthcare provider inserting two fingers into the vagina while applying gentle pressure on the abdomen to assess the size, shape, and position of the uterus and ovaries.
The speculum exam comes after the bimanual exam, where a speculum is inserted into the vagina to visualize the cervix and perform further examination if needed.