When assessing a woman in the first stage of labour,the nurse recognizes that which of the following is the most conclusive sign that uterine contractions are effective?

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The vaginal examination reveals whether the woman is in true labour.Cervical change,especially dilation,in the presence of adequate labour indicates that the woman is in true labour.Descent of the fetus,or engagement,may occur before labour.Rupture of membranes may occur with or without the presence of labour.Bloody show may indicate slow,progressive cervical change (e.g.,effacement)in both true and false labour.

When Assessing a Woman in the First Stage of Labour,the