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so on my badge I keep dilation beads on them so each bead is a centimeter wide and there are 10 beads on this so what you do is you check your patient and then you kind of just memorize how wide your fingers are so you compare what you felt to the dilation beads and honestly it took me probably two years to be very confident in my cervical exam so it takes practice and this is also good to show your patients when you check them and you tell them this is how far dilated you are hope that helps