Home » NCLEX » NCLEX-RN » A client is being admitted to the labor and delivery unit. She has had previous admissions for "false labor." Which clinical manifestation would be most indicative of true labor?
A client is being admitted to the labor and delivery unit. She has had previous admissions for "false labor." Which clinical manifestation would be most indicative of true labor?
A. Increased bloody show
B. Progressive dilatation and effacement of the cervix
C. Uterine contractions
D. Decreased discomfort with ambulation
Correct Answer: B
Explanation/Reference:
Explanation:
(A) Bloody show is considered a sign of imminent labor, which usually begins in 2448 hours. An increase in bloody show is an indication that the cervix is changing. (B) Contractions of true labor produce progressive cervical effacement and dilatation. (C) Contractions of false labor may mimic those of true labor. However, the contractions of false labor do not produce progressive effacement and dilatation of the cervix. (D) In true labor, the discomfort is not relieved by ambulation; walking may intensify the discomfort.
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