One of the following is the sign of true labour?

Appeared in: IGNOU Post B. SC. Nursing entrance -2021

Explanation

True labor is defined by uterine contractions that are regular, progressively increase in frequency, duration, and intensity.
The most critical and definitive sign of true labor is that these contractions lead to progressive changes in the cervix, specifically dilatation (opening) and effacement (thinning).
Pain in true labor typically begins in the lower back and radiates to the abdomen.
Unlike false labor, true labor contractions do not subside with ambulation or changes in position; they often become stronger.

Option A: Irregular contractions that do not establish a consistent pattern are a classic sign of false labor (Braxton Hicks contractions), not true labor.
Option B: While true labor contractions are felt in the abdomen, pain confined only to the abdomen is more characteristic of false labor. True labor pain often starts in the back and radiates forward.
Option C: Contractions that disappear or lessen with walking (ambulation) or a change in activity are a hallmark of false labor. True labor contractions persist and often intensify with activity.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Differentiating True vs. False Labor as background academic context rather than a clinical decision trigger.
Accurately differentiating true from false labor is a crucial nursing skill to prevent unnecessary hospital admissions and interventions, while also ensuring timely care for women who are in labor.
Patient education is vital. Nurses must teach expectant mothers the signs of both true and false labor so they know when to come to the hospital and when it is safe to remain at home.
The definitive assessment for true labor is a sterile vaginal examination to check for cervical dilatation and effacement. This is a core competency for labor and delivery nurses.

How to Approach the Question

First, identify the core concept of the question, which is to distinguish between true and false labor.
Recall the key characteristics of each. True labor is defined by its progressive nature.
Evaluate each option against the defining criteria of true labor.
Option A (Irregular contractions) is a sign of false labor.
Option B (Contractions felt abdominally) is non-specific and can occur in both.
Option C (Contractions disappear with ambulation) is a sign of false labor.

Concept Tested & Keywords

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E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 5-10

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