A primigravida at 39 weeks of gestation is observed for 2 hours in the intrapartum unit. The fetal heart rate has been normal. Contractions are 5 to 9 minutes apart, 20 to 30 seconds in duration, and of mild intensity
Cervical dilation is 1 to 2 cm and uneffaced (unchanged from admission). Membranes are intact. The nurse should expect the woman to be a. Admitted and prepared for a cesarean birth
b. Admitted for extended observation
c. Discharged home with a sedative
d. Discharged home to await the onset of true labor
D
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A These are all indications of false labor without fetal distress. There is no
indication that a cesarean birth is indicated.
B These are all indications of false labor; there is no indication that further
assessment or observations are indicated.
C The patient will probably be discharged, but there is no indication that a sedative
is needed.
D The situation describes a woman with normal assessments who is probably in
false labor and will probably not deliver rapidly once true labor begins.
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