A nurse is caring for a 25-year-old female client in an antepartum unit. Exhibits For each assessment finding, click to specify if the finding is consistent with preterm labor or preterm prelabor rupture of membranes. Each client finding may support more than one disease process or none at all. There must be at least one selection in every column. There does not need to be a selection in every row Note: Each category must have at least one response option selected.

Preterm Labor Preterm labor refers to labor that begins before 37 weeks of gestation. The key findings associated with preterm labor are: Cervical effacement and dilation: The client is 100% effaced and 2 cm dilated. Regular uterine contractions: The client is experiencing contractions every 3 minutes, lasting 60 seconds. Bloody show: The presence of bloody mucus discharge is another sign of preterm labor. Low backache: The client reports cramping and low back pain. Preterm Prelabor Rupture of Membranes (PPROM) PPROM refers to the rupture of membranes before labor begins and before 37 weeks of gestation. The key findings associated with PPROM are: Vaginal discharge: The client reported urinary leakage earlier, which could be misinterpreted as amniotic fluid leakage. Clear mucus discharge can also be a sign of ruptured membranes.