When assessing a woman in the first stage of labor,the nurse recognizes that the most conclusive sign that uterine contractions are effective is:

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

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