Which of the following is a sign that childbirth labor is likely to begin?

Feeling irregular contractions that become more frequent, longer, and stronger over time.

Feeling less energetic and experiencing a decrease in Braxton Hicks contractions.

Experiencing frequent urination and increased back pain.

Experiencing a decrease in vaginal discharge and a loss of the mucus plug.

Answer and Explanation

The Correct Answer is A

A. Feeling irregular contractions that become more frequent, longer, and stronger over time. This describes true labor contractions, which increase in intensity and frequency, leading to cervical changes.

B. Feeling less energetic and experiencing a decrease in Braxton Hicks contractions. Many clients experience a burst of energy (nesting) before labor, not decreased energy. A reduction in Braxton Hicks contractions is not a sign of impending labor.

C. Experiencing frequent urination and increased back pain. While these symptoms can occur due to fetal descent, they are not definitive signs that labor is starting.

D. Experiencing a decrease in vaginal discharge and a loss of the mucus plug. A loss of the mucus plug can occur days before labor, but it does not indicate labor is beginning immediately. Vaginal discharge often increases, not decreases, before labor.

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Correct Answer is D

Explanation

A. Brownish vaginal discharge: Bloody show (pink-tinged mucus) may indicate labor, but brownish discharge alone does not confirm labor. It may indicate old blood or cervical changes.

B. Amniotic fluid in the vaginal vault: The presence of amniotic fluid suggests rupture of membranes, but rupture alone does not confirm active labor unless accompanied by cervical changes.

C. Report of pain above the umbilicus: Labor contractions typically begin in the lower back and radiate to the lower abdomen, not above the umbilicus. Upper abdominal pain may suggest another issue, such as preeclampsia.

D. Cervical dilation: Cervical dilation is the only definitive sign that labor is occurring. True labor involves progressive cervical dilation and effacement due to regular contractions.

A. Fetal breathing B. Fetal motion C. Amniotic fluid volume D. Fetal gender E. Fetal neck translucency

Correct Answer is ["A","B","C"]

Explanation

A. Fetal breathing: Fetal breathing movements are assessed as part of the BPP, which evaluates fetal well-being.

B. Fetal motion: Fetal movements, including limb and body movements, are an essential component of the BPP.

C. Amniotic fluid volume: The amount of amniotic fluid is measured to assess fetal hydration and placental function.

D. Fetal gender: The BPP does not assess fetal gender; it focuses on fetal well-being rather than genetic characteristics.

E. Fetal neck translucency: Nuchal translucency (fetal neck thickness) is assessed during first-trimester ultrasound screening for chromosomal abnormalities, not during a BPP.

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Which of the following is a sign that childbirth labor is likely to begin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

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Explanation

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Correct Answer is ["A","B","C"]

Explanation

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