A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor.
Which of the following findings confirm to the nurse that the client is in labor?.
Brownish vaginal discharge.
Cervical dilation.
Amniotic fluid in the vaginal vault.
Report of pain above the umbilicus.
The Correct Answer is B
The correct answer is choice B.
Choice A rationale:
Brownish vaginal discharge can be a sign of labor but it is not definitive.
Choice B rationale:
Cervical dilation is a definitive sign that labor has started.
Choice C rationale:
Presence of amniotic fluid in the vaginal vault can indicate rupture of membranes but it does not confirm labor.
Choice D rationale:
Pain above the umbilicus is not a typical sign of labor.
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Related Questions
Correct Answer is D
Explanation
The correct answer is choice D. At the level of the umbilicus.
Choice A rationale:
The uterine fundus is not typically found to the right of the umbilicus after delivery.
Choice B rationale:
The uterine fundus is not typically found 2 cm above the umbilicus after delivery.
Choice C rationale:
The uterine fundus is not typically found one fingerbreadth above the symphysis pubis after delivery.
Choice D rationale:
After delivery, the uterine fundus is typically found at the level of the umbilicus.
Correct Answer is ["C"]
Explanation
The correct answers are choices C, D, and E.
Choice A rationale:
Constipation is not a sign of labor. It is more commonly associated with pregnancy rather than the onset of labor.
Choice B rationale:
Weight gain is not a sign of labor. In fact, weight gain often stops as labor approaches.
Choice C rationale:
Bloody show is a sign of labor. It is the discharge of the mucus plug that seals the cervix during pregnancy.
Choice D rationale:
Lightening, or the baby dropping into the pelvis, is a sign of labor.
Choice E rationale:
Backache can be a sign of labor, as the muscles and joints stretch and shift in preparation for childbirth.
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