A healthy 18-year-old client who is at 40 weeks' gestation experiences vaginal expulsion of stringy mucus followed by blood-tinged secretions unaccompanied by discomfort or any other changes. Based upon these findings, what is most likely to occur within the next 24 to 48 hours?
1. Onset of labor
2. Cesarean section
3. Chorioamnionitis
4. Spontaneous abortion
1
Explanation:
1. Softening and effacement of the cervix is accompanied by expulsion of the mucous plug and a small amount of blood loss from the exposed cervical capillaries. The resulting pink-tinged secretions are called bloody show. Bloody show is considered a sign that labor will begin within 24 to 48 hours.
2. The client is describing pregnancy-related changes associated with imminent onset of labor. Based upon her report, there is no indication that cesarean section will be necessary.
3. Chorioamnionitis is associated with premature rupture of amniotic membranes (PROM). Based upon the client's report, she is demonstrating mucous plug expulsion and bloody show.
4. The client is most likely demonstrating expulsion of the mucous plug and bloody show, which is considered a sign that labor will begin within 24 to 48 hours.
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