A pelvic examination is performed to evaluate the cervix and station of the presenting part.

The fetal heart rate is recorded before and after the procedure.

The presenting part should be well applied to the cervix.

The membranes over the fetal head are removed by the examining finger.

A cervical hook is inserted through the cervical os by sliding it along the hand and fingers (hook side toward the hand).

The membranes are scratched or hooked to effect rupture.

The nature of the amniotic fluid is recorded (clear, bloody, thick or thin, meconium).