You have been called for a 27-year-old female who is 32 weeks pregnant. She states that she is experiencing uterine contractions but feels no pain with them, just a tightening in her abdomen. She states that these began three days ago and seem to be increasing in frequency today. She denies discharge or rupture of her membranes. Given this presentation, you should recognize:

Question

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The patient is likely experiencing Braxton Hicks contractions, also known as false labor. However, since the frequency is increasing and she is 32 weeks pregnant, it is important to have her evaluated at the hospital to rule out preterm labor or other complications. Option A may be appropriate if the patient has a history of false labor and her contractions are not increasing in frequency or intensity. Option C would only be applicable if the patient is in active labor with crowning present. Option D is unlikely based on the information provided and would only be considered if there were signs of vaginal bleeding or other signs of placental abruption.

You Have Been Called for a 27-Year-Old Female Who Is