A client at 40 weeks' gestation should be instructed to go to a hospital or birth center for evaluation when she experiences:
a. fetal movement.
b. irregular contractions for 1 hour.
c. a trickle of fluid from the vagina.
d. thick pink or dark red vaginal mucus.
ANS: C
A trickle of fluid from the vagina may indicate rupture of the membranes, requiring evaluation for infection or cord compression. The lack of fetal movement needs further assessment. Irregular contractions are a sign of false labor and do not require further assessment. Bloody show may occur before the onset of true labor. It does not require professional assessment unless the bleeding is pronounced.
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