A woman arrives at the birthing unit complaining of frequent strong contractions that begin in her back and cannot be relieved by walking or changing positions. What action by the nurse is most appropriate?
A.
Assess the woman for rupture of membranes.
B.
Immediately notify the woman's primary care provider.
C.
Reassure the woman and send her home.
D.
Review the signs of true labor with the woman.
ANS: A
Distinguishing true labor from false labor can be difficult. True labor contractions occur with regularity, increased in frequency and duration, and usually begin in the woman's lower back and radiate to the abdomen. Based on the woman's description, the contractions likely are indicative of true labor, so she should be assessed further, including assessment for rupture of membranes. There is no urgent need to notify her primary care provider until further assessment is completed. She should not be sent home, nor does she need more education on the signs of true labor.
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