NCLEX-RNHealth Promotion and MaintenanceMedium
A nurse is providing health teaching to a client who is 30 weeks pregnant about signs of preterm labor. The client asks, "How will I know if what I'm feeling is real labor and not just Braxton Hicks?" Which of the following symptoms should the nurse instruct the client to report immediately?
- AA sudden gush of fluid from the vagina.
- BIncreased vaginal discharge that is thin and white.
- CIrregular contractions that stop with walking or position changes.
- DMild, infrequent abdominal tightening.
Show answer & explanationAnswer & explanation
Correct answer: A. A sudden gush of fluid from the vagina.
A sudden gush of fluid from the vagina indicates rupture of membranes, which is a sign of true labor or a significant complication regardless of gestational age. At 30 weeks, rupture of membranes is a critical sign of preterm labor and requires immediate medical attention.
Why the other options are wrong
- B. Increased vaginal discharge, if thin and white, is a common and normal finding during pregnancy and usually not indicative of preterm labor unless it's bloody, watery, or has an unusual odor.
- C. These are characteristics of Braxton Hicks contractions, which are typically not signs of true labor.
- D. Mild, infrequent abdominal tightening is consistent with Braxton Hicks contractions or normal uterine activity and generally not a sign of true preterm labor unless they become regular and intensify.
Signs of Preterm Labor
Symptoms indicating the onset of labor before 37 weeks of gestation, requiring prompt medical evaluation.
- Regular, painful contractions.
- Vaginal bleeding or spotting.
- Pelvic pressure or backache.
- Rupture of membranes.
Memory trick: Water, Pain, Pressure, Bleeding