Yes it will be as the others said through descent I would imagine, so you could possibly put about palpation and determining, the position and lie, as well as presentation and station of the fetus. In relation to VE it may be in relation to ischial spines, if its -3 its doubtable unless you have long fingers that you could reach it, also where the cervix is i.e if you cannot touch/reach the cervix if its posterior etc.. so I imagine it will be descent in relation to position of cervix and ischial spines I always do it, that -3 not able to reach -2 is a stryggle to reach and difficult if cervix posterior, then not enough impact yet on cervix for it to be dilating at a reasonable rate (usually latent phase of labour) and the -1 I think is length of fingers without stretching, then at the spines is 1cm ish down your fingers etc... dunno if that makes sense its difficult to explain in typing!!
So I suppose you would have to start with palpation, position, lie and station, confirmed by examination, regular palpation and examination dependant on Trust policy, talk about the length of cervix, strength of contractions, I usually cover all bases just incase x

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