Braxton Hicks contractions are?

Appeared in: UPRVUNL - 2021

Explanation

Braxton Hicks contractions are defined as intermittent, irregular uterine contractions that occur during pregnancy.
They are often called 'practice' or 'false labor' contractions because they help prepare the uterine muscles for labor but do not cause cervical changes (dilation and effacement).
These contractions typically begin in the second trimester, are usually painless or only mildly uncomfortable, and do not increase in frequency, duration, or intensity like true labor contractions.
They can often be relieved by changes in activity, position, or hydration.

Option B: Uterine contractions that occur after the delivery of the baby are known as 'afterpains'.
Option C: Uterine contractions are not a characteristic feature of puberty.
Option D: Braxton Hicks contractions are muscular contractions of the uterus, not the heart.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Definition and characteristics of Braxton Hicks contractions as background academic context rather than a clinical decision trigger.
A key nursing role is educating pregnant women to differentiate between Braxton Hicks contractions and true labor to prevent unnecessary anxiety and hospital visits.
Nurses should advise patients on comfort measures for Braxton Hicks, such as hydration, changing position, and rest, while also teaching them the warning signs of true labor that require immediate medical attention.
What if? - If a woman before 37 weeks of gestation reports contractions that are becoming regular, stronger, and more frequent, and are not relieved by rest or hydration, she should be evaluated immediately for preterm labor, as these are signs of true labor, not Braxton Hicks.

How to Approach the Question

First, identify the key term in the question, which is 'Braxton Hicks contractions'.
Recall the definition of this term from your knowledge of obstetrics. Braxton Hicks are known as 'practice' or 'false' labor contractions that occur during pregnancy.
Evaluate each option based on this definition.
Option A correctly identifies them as uterine contractions during pregnancy.
Option B describes afterpains, which occur post-delivery.
Option C incorrectly links contractions to puberty.

Concept Tested & Keywords

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E6 Obstetrics Williams p. 36-56

E6 Physiology Guyton 4SAE Part 3 p. 66-68

E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 6-11

Practise the full UPRVUNL - 2021

Attempt every question from this paper in a timed mock, then review the full solution for each one.