Difficulty: Medium
Average Score: 86%
Simulated
Passage / Scenario
Primigravida client at term, having contractions, unsure if in laborA nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as a sign of true labor?
Correct answer
C
Rationale
Changes in the cervix, such as effacement and dilation, are the most accurate indicators of true labor, caused by contractions and fetal pressure.