18.
T (para 2-5f(5))
19.
See chart. (para 2-2a)
FACTOR
TRUE LABOR
FALSE LABOR
Do not produce progressive
Produce progressive dilation and
dilatation and effacement. Are
effacement of the cervix. Occur
Contractions
irregular and do not increase in
regularly and increase in
Not present. May have brownish
discharge which may be from
Is present.
Show
vaginal exam if within the last 48
hours.
Becomes effaced and dilates
Usually uneffaced and closed.
Cervix
progressively.
No significant change, even
May intensify for a short period or
Fetal
though fetus continues to move.
it may remain the same.
Movement
20.
Active or accelerated phase. (para 2-4b)
21.
Transient or transitional phase. (para 2-4c)
22.
Prevent fecal contamination of the perineum during delivery. Cleanse the bowel,
providing more room for fetal passage. Stimulate uterine contractions. (para
2-5c(4))
23.
Over the fundal area of the patient's uterus. (para 2-5d(3))
24.
To detect presence of fetal life at time of admission and to detect development of
fetal distress during labor. (para 2-5f)
25.
Second phase. (para 2-6a(2))
26.
Never leave a patient alone nor turn your back on the perineum. Encourage the
patient to rest between contractions and to push with contractions.
Position patient's legs in stirrups.
Prep the patient's perineum.
Monitor the patient's blood pressure and the fetal heart tones every 5 minutes
and after each contraction. (para 2-8)
MD0922
2-37