When assessing a woman in the first stage of labor, the nurse recognizes that the most conclusive sign that uterine contractions are effective would be:
a. Dilation of the cervix.
b. Descent of the fetus.
c. Rupture of the amniotic membranes.
d. Increase in bloody show.
A
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A The vaginal examination reveals whether the woman is in true labor. Cervical change, especially dilation, in the presence of adequate labor indicates that the woman is in true labor.
B Descent of the fetus, or engagement, may occur before labor.
C Rupture of membranes may occur with or without the presence of labor.
D Bloody show may indicate slow, progressive cervical change (e.g., effacement) in both true and false labor.
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