Match the characteristics of each labor type to the appropriate category.

A 38-week pregnant woman presents to the labor and delivery unit with complaints of abdominal cramping. The nurse needs to differentiate between true labor and false labor. Match the characteristics of each labor type to the appropriate category.

A. The lochia is small with scant clots is incorrect because scant lochia is a normal finding in the immediate postpartum period. Scant lochia reflects the normal shedding of the uterine lining and is not affected by bladder distention. While abnormal lochia patterns can indicate complications such as retained placental fragments or infection, small, scant lochia alone does not suggest a distended bladder.

B. The fundus is at the umbilicus and midline is incorrect because a firm, midline fundus at the umbilicus is considered a normal finding 2 hours postpartum. This indicates that the uterus is contracting appropriately and that there is no interference from bladder distention. A normal fundal position rules out bladder distention as a cause for uterine displacement.

C. The lochia is moderate with no clots is incorrect because moderate lochia is also within the expected range for 2 hours postpartum and represents normal uterine bleeding as the uterus continues involution. This finding does not indicate bladder distention, although excessive bleeding or clots could signal uterine atony or retained tissue.

D. The fundus is deviated to the right at U+2 is correct because a lateral displacement of the fundus, most commonly to the right, is a hallmark sign of bladder distention. The full bladder physically pushes the uterus out of midline, preventing adequate contraction. If left unrelieved, this can increase the risk of uterine atony and postpartum hemorrhage. The nurse should assist the patient to void or catheterize if necessary, then reassess the fundal position to ensure the uterus is firm and midline.

A. Thrombocytopenia is incorrect as the primary pathophysiology of leukemia. While thrombocytopenia can occur in leukemia due to bone marrow crowding and decreased platelet production, it is a secondary consequence, not the main mechanism.

B. Unrestricted proliferation of immature white blood cells (WBCs) is correct because leukemia is characterized by uncontrolled proliferation of immature leukocytes (blasts) in the bone marrow. These immature cells accumulate and crowd out normal hematopoietic cells, leading to anemia, thrombocytopenia, and neutropenia, which cause the clinical manifestations of infection, bleeding, and fatigue.

C. Increased blood viscosity is incorrect because this is more characteristic of polycythemia vera, not leukemia. Leukemia generally does not increase blood viscosity unless there is an extremely high white blood cell count in leukostasis.

D. First stage of coagulation process is abnormally stimulated is incorrect because coagulation abnormalities may develop in some forms of leukemia (e.g., acute promyelocytic leukemia with DIC), but this is not the fundamental pathophysiology of leukemia.