An assessment finding that would indicate to the nurse that cervical dilation and/or effacement has occurred is:
a. onset of irregular contractions.
b. cephalic presentation at 0 station.
c. bloody mucus drainage from vagina.
d. fetal heart tones (FHTs) present in the lower right quadrant.
ANS: C
Cervical dilation and/or effacement results in loss of the mucous plug as well as rupture of small capillaries in the cervix; irregular contractions, cephalic presentation, and FHTs in the lower right quadrant do not indicate the onset of cervical ripening.
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