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    Ati rn comprehensive predictor 2023 proctored exam

    A nurse is assessing a client who presents to the labor and delivery unit reporting the onset of contractions. Which of the following findings should the nurse identify as a manifestation of false labor?

    Explanation & Rationale

    A. Presence of bloody show: Bloody show, or the passage of a small amount of blood-tinged mucus, is an indication of cervical changes and impending labor. It is associated with true labor and not a feature of false labor. B. Intermittent, painless contractions: Painless, irregular contractions that do not increase in intensity or frequency are characteristic of false labor. These contractions often resolve with rest, position changes, or ambulation and do not produce progressive cervical dilation or effacement. C. Contraction intensity increased by ambulation: In true labor, contractions typically intensify with ambulation or activity. Contractions that remain unchanged or decrease with movement are more consistent with false labor. D. Slow change in dilation and effacement: Any progressive change in the cervix (dilation or effacement) is a hallmark of true labor. In false labor, the cervix remains closed and thick despite the presence of contractions.

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