During childbirth education, a woman should be advised that she may have a sudden gush of fluid from the vagina as she approaches her expected delivery date. Which statement best explains this event?
a. The fluid, often called bloody show, is caused by the expulsion of a protective mucous plug from the cervix.
b. This loss of fluid is usually related to overexertion during the sudden burst of energy that often occurs shortly before labor begins.
c. Rupture of amniotic membranes allows the amniotic fluid to flow from the uterus through the vagina.
d. The passage of fluid eliminates excess water in preparation for the process of labor.
ANS: C
Rupture of the amniotic membranes (ROM) permits amniotic fluid to pass through the vagina. Women commonly go into labor within 24 hours after ROM. If the membranes do not rupture spontaneously, the physician may rupture them artificially. Artificial rupture of the membranes is useful in inducing labor if it does not begin spontaneously.
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