NURSE-UN 1242 Chapter Notes - Chapter 13: Cervical Effacement, Umbilical Cord, Fetal Position
5 Jan 2019
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A woman in her 40th week of pregnancy calls the nurse at the clinic and says she"s not sure whether she is in true or false labor. My contractions are about 6 minutes apart and regular. The contractions slow down when i walk around. If i try to talk to my partner during a contraction, i can"t. False labor is characterized by contractions that are irregular and weak, often slowing down with walking or a position change. True labor contractions begin in the back and radiate around toward the front of the abdomen. They are regular and become stronger over time; the woman may find it extremely difficult if not impossible to have a conversation during a contraction. Placental separation is indicated by the uterus changing shape to globular and upward rising of the uterus. Additional signs include a sudden trickle of blood from the vaginal opening, and lengthening (not shortening) of the umbilical cord.
