Uttarakhand CHO - 2021
Obstetrics & Gynaecology
Easy
Which of the following is not a sign of True Labour?
Appeared in: Uttarakhand CHO - 2021
Explanation
- Fetal movement is a sign of fetal well-being, not an indicator of labor. Its presence or absence does not confirm or rule out the onset of true labor.
- While patterns of fetal movement may change near term, it is not considered a diagnostic criterion for distinguishing true labor from false labor.
- A significant decrease in fetal movement is a cause for concern and requires immediate evaluation, but its continued presence is a normal finding.
Why Other Options Were Wrong
- Option A: This is a primary and defining characteristic of true labor. The contractions are regular, become progressively stronger and more frequent, and lead to cervical changes.
- Option B: Progressive dilation of the cervical os is a definitive sign of true labor. It indicates that the uterine contractions are effective in preparing the body for birth.
- Option D: The 'show,' or bloody show, is the passage of the mucus plug from the cervix. It is a reliable sign that the cervix is beginning to efface and dilate, heralding the onset of labor.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Differentiating signs of true labor from false labor as background academic context rather than a clinical decision trigger.
- Educating expectant mothers on the differences between true and false labor is a crucial nursing role. This knowledge empowers them to know when to come to the hospital, preventing unnecessary admissions for false labor and ensuring timely arrival for true labor.
- Nurses must instruct patients to monitor fetal movements daily as a measure of fetal well-being. A significant decrease in movement (e.g., fewer than 10 movements in 2 hours) should be reported immediately, as it can be a sign of fetal distress, which is a separate issue from labor onset.
- What if? If a patient in her third trimester reports regular, painful contractions AND a sudden gush of fluid from the vagina, the priority is to assess for ruptured membranes and check the fetal heart rate, as this combination strongly suggests true labor and carries a risk of cord prolapse.
How to Approach the Question
- First, identify the negative framing of the question: it asks for what is 'NOT' a sign of true labor.
- Recall the cardinal signs of true labor. These include regular, progressive uterine contractions; cervical dilation and effacement; and the presence of a bloody show.
- Evaluate each option against these criteria.
- Option A, 'Rhythmic painful uterine contractions,' is a classic sign of true labor.
- Option B, 'Dilation of OS,' is a definitive sign of true labor.
- Option D, 'Show,' is a common sign of impending or early labor.
Concept Tested & Keywords
- Concept Tested: Differentiating signs of true labor from false labor.
- Stem keywords: True Labour, sign
- Lead-in keywords: not
- Negative lead-in flag: Question asks to identify the option that is NOT a sign of true labor.
Question ID
QrSMVFcZiAZs95-0VX2abf
Reference Book
E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 7-12
Practise the full Uttarakhand CHO - 2021
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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