Practice Quiz

CNM Certified Nurse Midwife

Category - Intrapartum

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A client comes to the facility and tells the nurse midwife that she is in labor and is having some contractions. The client is at 37 weeks’ gestation. Which of the following signs indicates that the client is in true labor?
  1. Contractions are initially felt in lower back and then sweep around to the abdomen in a wave.
  2. The contractions are relieved with ambulation and sleep.
  3. The contractions do not achieve cervical dilatation.
  4. The contractions remain irregular.
Explanation
Answer: A - Contractions that are initially felt in the lower back and then sweep around to the abdomen in a wave are a sign of true labor. Other signs of true labor include irregular contractions becoming regular, continuous contractions independent of activity level, increase in the duration, frequency and intensity of the contractions and occurrence of cervical dilatation. The other options are signs of false labor.
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