Terms of Use. Absorbents and anti-motility medications are used to treat diarrhea. Association between women's self-diagnosis of labor and labor duration after admission. Women also notice loosening of the joints, particularly in the pelvic area, as the third trimester progresses, in preparation for delivery. False 8. Take the quiz to see if your symptoms may be HS—a chronic inflammatory skin condition that may be linked to the immune system. Signs and symptoms of pregnancy vary by stage (trimester). There will be several signs to help you anticipate when labor is imminent; watch for them carefully so you can be prepared when it is time. What are the early signs and symptoms of labor? Only about half of women with an ectopic pregnancy will have all three of the main signs: a missed period, vaginal bleeding, and belly pain. home/pregnancy health center/pregnancy a-z list/early signs and symptoms of labor center /early signs and symptoms of labor article. 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The epidural space is the area between the inner wall of the backbone (vertebral column) and the outermost of the three membranes (dura mater) that surround the spinal cord. See additional information. Pregnancy workouts explained. Congratulations! Aspirin For Women Who've Miscarried Before. Medically known as "lightening," this is when the baby "drops." Abnormal vaginal bleeding in women who are ovulating regularly most commonly involves excessive, frequent, irregular, or decreased bleeding. What changes in the perineum indicate the birth of the baby is imminent? Please do not copy this quiz directly; however, please feel free to share a link to this page with students, friends, and others. 1 Left untreated, childhood anxiety can result in poor school performance, poor social functioning, and even substance abuse. 3. During stage 3 of labor, you note a gush of blood and that the uterus changes shape from an oval shape to globular shape. What delivery mechanism is this known as AND is this the maternal or baby’s surface of the placenta? True or False: Stage 2 of labor begins with the delivery of the baby and ends with the delivery of the placenta. Later symptoms and signs that labor that labor is are the woman's water breaking, and when contractions begin. In some women, symptoms range from a missed period to feeling lightheaded. Check out the pros and cons of these different delivery methods to help you decide which one might be best for you: Dilation of the cervix is a sign that labor is approaching, although this is detected by the health-care professional during a pelvic examination. Explore first trimester symptoms of pregnancy and learn what week pregnancy symptoms start. Which combinations of labor and capital hours of use represent points A transversus abdominis plane (TAP) block is a procedure to anesthetize the nerves that provide sensation and muscle function to the abdominal wall and skin. Third trimester symptoms are additional weight gain, heartburn, hemorrhoids, swelling of the ankles, fingers, and face, breast tenderness, and trouble sleeping. The cervical glands produce mucus to prevent bacteria, fungi, or viruses from entering the uterus through your cervix. When contractions begin to occur less than ten minutes apart, this frequently signals the onset of true labor. Registered Nurse, Free Care Plans, Free NCLEX Review, Nurse Salary, and much more. Sign Up for MedicineNet Newsletters! 9. The low position of the baby's head puts even more pressure on the urinary bladder, so many women approaching labor might feel a frequent need to urinate. This indicates? D This occurs in the weeks prior to labor, since a thinned cervix dilates more easily. = incorrect answer 5. In numerology, the number 4444 gets its meaning and energy from the numbers 4, 44 and 7. And that’s good news for you, because rebound relationships sometimes mean your ex wants to get back together with you.. 1. Braxton-Hicks contractions are usually milder than those of true labor, and they do not occur at regular intervals. There are three stages of labor, stage 1 is the longest and occurs when the cervix begins to thin and dilate. Headaches and pain are common in early pregnancy. In contrast to feeling extra tired as is typical of pregnancy, many women describe feeling a sudden burst of energy and excitement in the weeks prior to labor. CHAPTER LEVEL QUIZ RESULTS You have answered 10 question(s) correctly. This can happen within a few days or as labor begins, so watch closely. The baby's head descends deeper into the pelvis. The fight over the future of gig economy work in California isn't over. Respiratory distress or failure may be the result of underdeveloped lungs or a congenital condition. Bleeding during pregnancy is never normal. What are early pregnancy symptoms? Discover the best safe pregnancy exercises for your workout. This website provides entertainment value only, not medical advice or nursing protocols. Passage of the mucus plug is a known sign that labor is near. Your laboring patient has transitioned to stage 2 of labor. Causes of abnormal may arise from a variety of conditions that may include, uterine fibroids, IUDs, hypothyroidism, hyperthyroidism, lupus, STDs, pelvic inflammatory disease, emotional stress, anorexia nervosa, polycystic ovary syndrome (PCOS), cancers, early pregnancy. Watch for signs of imminent labor. Early signs of labor are "lightning" and passing the mucus plug. Exercise during pregnancy is an important part of healthy living. We strive for 100% accuracy, but nursing procedures and state laws are constantly changing. Signs and symptoms that labor may be near include "lightening," wich is when your baby's head descends to the floor of your pelvis. A. et al. After completing this quiz, please talk to your dermatologist about your answers as soon as possible. Bleeding during the second and third trimesters of pregnancy can be caused by a variety of factors. This quiz is copyright RegisteredNurseRn.com. But there are more signs which would help you reach a conclusion better. True or False: Stage 4 of labor starts with the full delivery of the baby and ends with the full delivery of the placenta. 7. Back pain may accompany contractions felt in other locations or may occur on its own. Braxton Hicks contractions are false labor pains to get your body ready for the real thing. 16th ed. Eating a healthy diet, getting a moderate amount of exercise, also are recommended for a healthy pregnancy. This quiz will test your knowledge about the stages of labor for maternity nursing. To provide a baby assisted ventilation, a mechanical ventilator pumps oxygen to the lungs at pressure until the baby’s respiratory system works normally. How anxiety interferes with learning. Early and later symptoms and signs of labor and delivery are unique to each woman. This is a normal finding post-delivery. Stages of labor nursing quiz for the NCLEX exam. Join the nursing revolution. Terms of Use. Take this quiz to separate the myths and facts about being pregnant, and learn the truth behind healthy pregnancies! Increase in meconium-stained fluid and retracting perineum, B. Retracting perineum and anus with an increase of bloody show, D. Bulging perineum and rectum with an increase in bloody show. A In stage 1 of labor, during the active phase, the cervix dilates? Enter your email address below and hit "Submit" to receive free email updates and nursing tips. Edinburgh: Churchill Livingstone, 327-66 NHS. D. At or near the umbilicus. False C. Signs of placental separation. B. During stage 2 of labor the baby passes through the birth canal and remains there until delivery, and stage 3, is when the baby is delivered. D 7. 7. 9. The common wisdom here says he’s in a “rebound relationship” – and it’s common because it’s usually correct. False 3. This Fast Fact reviews the key elements in assessment and treatment of fever in patients near the end-of-life. This sign is also detected by the health-care professional during a pelvic exam. Scroll down to see your results.). Medscape. Milton, SH, MD. Despite how it is often portrayed in movies, it is typically not a dramatic gush of fluid, but rather a slower dripping or trickle. You have achieved a passing score on this quiz. Get all of Hollywood.com's best Celebrities lists, news, and more. D. The transition phase ends and progresses to stage 2 of labor when the cervix has dilated to 10 cm. 10. Diarrhea is a change is the frequency and looseness of bowel movements. A pregnancy that is not in the usual place within the uterus but is located in the Fallopian tube. Can you know before your missed period? A. For some women, this occurs up to 2 weeks prior to the beginning of labor; other women may not notice this event at all. Introduction Clinically significant fever is defined as an increase in body temperature (generally > 38.5°C) in conjunction with an elevation of the hypothalamic set point.Hyperthermia is an uncontrolled elevation in body temperature without a change in the thermoregulatory center. One of these will appear in the box at the left of that button: NO! In 2013, more than half of new illicit drug users were under 18 years of age, according to the National Institute on Drug Abuse. C. The cervix will dilate from 8 to 10 cm. Nothing can relieve the symptoms of morning sickness. of a pregnancy may be caused by implantation bleeding, ectopic or tubal pregnancy, subchorionic hemorrhaging, infections, and miscarriage. Physiology and care during the first stage of labour. Could you be pregnant? A. When your dog is close to giving birth, her teats will enlarge as her milk comes in. 6. D Amniotic fluid should be colorless and odorless. D. Answers B and C. Answer Key: 1. When taking a quiz, click on the choice button. Being pregnant is a delicate time for both mother and baby. Pressure from the baby's head causes the mucus plug to be expressed from the vagina, sometimes as blood-tinged vaginal discharge (referred to as "bloody show"). Key points One definition of a near miss is when an unplanned event occurs resulting in no injuries or damages, but had the potential for such. Women often describe the pelvic pain and pressure as feeling the urge to have a bowel movement. There are three stages of labor, stage 1 is the longest and occurs when the cervix begins to thin and dilate. This can help kickstart the baby’s breathing reflex if it’s compromised by underdevelopment or some congenital condition, but it may also lead to lung trauma. What is your next nursing action? Anxiety disorders are the most common mental illness in the United States, impacting an estimated one in eight children. In your maternity class and on the NCLEX exam, you will need to know the details about the stages of labor. J Perinat Med 38(1):33-8 Jackson K, Marshall JE, Brydon S. 2014. "Normal" can vary from woman to woman. Continue to monitor the mother. Later symptoms and signs that labor that labor is are the woman's water breaking, and when contractions begin. 10. See a picture of Tubal Pregnancy and learn more about the health topic. Irregular contractions, known as Braxton-Hicks contractions or "false labor," occur toward the end of pregnancy during the third trimester. (NOTE: When you hit submit, it will refresh this same page. It can sometimes be hard to distinguish from urine, but amniotic fluid does not have an odor. The mother may experience intense pain, irritation, nausea, and deep concentration. You can also take more fun nursing quizzes. The hourly cost of labor is $10 and the hourly cost of capital is $50. 9. Others may experience typical "morning sickness" and food cravings. What statement is FALSE about the transition phase of stage 1? C You note that the shiny surface of the placenta was delivered first. Myles textbook for midwives. If you are leaking amniotic fluid, it is essential to contact your health-care professional right away. Signs and symptoms in late pregnancy include leg swelling and shortness of breath. The various signs of labor tend to fall into two categories—those that mean it’s coming soon and those that mean it’s happening now. Do Menstrual Cycles Align With the Moon's Phases? British COVID Variant Spreading in the US. Synonym Discussion of labor. D. Administer PRN dose of Pitocin as ordered by the physician. 8. Learn which foods to avoid, while pregnant, such as queso dip, lunch meat, coffee and more. Pregnancy symptoms can vary from woman to woman, and not all women experience the same symptoms. This mucus plug must be expelled before delivery. False More Signs And Symptoms Of Twin Pregnancy. The signs and symptoms of normal labor can begin three weeks prior to the anticipated due date up until two weeks afterward, and there is no precise way to predict exactly when a woman will go into labor. Upated: May 02, 2014. Get new exercises to work out safely while pregnant. You’ll go into labor soon if you notice these signs of labor at 37 weeks (though we can’t say how soon—every pregnancy is different. Please click the “Continue” button to proceed to the next unit. Options for relief of pregnancy symptoms include exercise, diet, and other lifestyle changes. 6. By accessing any content on this site or its related media channels, you agree never to hold us liable for damages, harm, loss, or misinformation. Note: We have highlighted your correct answers in green, and your incorrect answers in red. How to use labor in a sentence. Some babies may have trouble breathing. B. Thick mucus produced by the cervical glands normally keeps the cervical opening closed during pregnancy. 2. Rupture of the amniotic membranes, or one's "water breaking," usually is a sign that labor has begun. Want More News? This begins in the days and even weeks prior to the onset of labor; "Fully dilated" means the cervix has dilated to a width of 10 cm. 2. ASL - American Sign Language: free, self-study sign language lessons including an ASL dictionary, signing videos, a printable sign language alphabet chart (fingerspelling), Deaf Culture study materials, and resources to help you learn sign language. Please refer to the latest NCLEX review books for the latest updates in nursing. 4. During stage 3 of labor, you note a gush of blood and that the uterus changes shape from an oval shape to globular shape. While there are characteristic changes in the body with impending labor, every woman's experience is unique and different. Labor definition is - expenditure of physical or mental effort especially when difficult or compulsory. For some women, the mucus plug is not expelled until after labor begins; others may notice the mucus discharge in the days prior to the onset of labor. 4. This indicates? 4444 Numerology. C 5. D 2. Contractions, which can vary among women and can be described as pounding, tightening, stabbing, or similar to menstrual cramps, increase in strength and frequency as labor approaches. A labor union and a group of gig workers filed a lawsuit on Tuesday challenging Proposition 22, or Prop 22, the controversial California ballot measure passed by voters in November that exempts firms like Uber and Lyft from having to classify their drivers in the state as employees rather than independent contractors. 3. Do you know which common foods may be risky during pregnancy? B 6. Communicate near-miss programs, make them easy to use and take action on near misses reported, one stakeholder suggests. 5. Section Menu. "Normal Labor and Delivery." Please note: This quiz is not meant to diagnose patients with HS. B C An increased urge to urinate can be a result of the baby's head dropping into the pelvis. 8. Lower back pain may be an early sign of labor. The warning signs of market mania are evident in Bitcoin (up 300% in a year), the deluge of SPAC IPOs (always a signal of a top), exorbitant P/E ratios, and rapidly rising real estate prices. D As the baby drops, breathing can become easier since there is less pressure on the diaphragm from underneath. ©1996-2021 MedicineNet, Inc. All rights reserved. Another sign that labor is near is the release of the "mucus plug." Feeling the urge to have a bowel movement (diarrhea), 10 Early Signs and Symptoms of Labor Center, Patient Comments: Early Labor Signs and Symptoms - Experience, Read the rest of the delivery options and their pros and cons, Diabetes While Pregnant Ups Odds for Heart Disease, MS Doesn't Put Women at Risk During Pregnancy. The mechanical ventilator provides oxygen until the baby can breathe unassisted. MedicineNet does not provide medical advice, diagnosis or treatment. An epidural nerve block is a procedure to block pain by injecting anesthetic medication into the epidural space. What are the early signs and symptoms of pregnancy? Causes of diarrhea include viral, bacterial, or parasite infection, gastroenteritis, food poisoning, and drugs. 4444 when reduced amounts to the number 7, that is, 4 + 4 + 4 + 4= 16, 1 + 6= 7. Stage 1 of labor includes which phases in the correct order? Gigi Hadid was too tired to be a mom after 14-hour labor Jamie Lee Curtis offers support on 22nd sober anniversary Oprah Winfrey welcoming Ciara and Jennifer Garner to WW event The uterus is soft and displaced to the left of the umbilicus. A. Postpartum hemorrhage. Often referred to as "nesting," this impulse often is accompanied by a sense of urgency to get things done or make plans for the baby. Causes of bleeding during the first trimester
All Rights Reserved. Some women also report experiencing diarrhea or loose bowel movements in the days preceding labor. In addition to dilation, thinning (effacement) of the cervix also occurs. How to use labor union in a sentence. After birth, where do you expect to assess fundal height? 10. When women do experience pregnancy symptoms they may include symptoms include missed menstrual period, mood changes, headaches, lower back pain, fatigue, nausea, breast tenderness, and heartburn. Perform fundal massage and assist the patient to the bathroom. Each quiz is composed of 10-12 multiple choice questions to test your knowledge of the major topics of study in A. P. American History. Early signs of labor are "lightning" and passing the mucus plug. Take the quiz! Don’t forget to check out our other NCLEX review quizzes for maternity. A firm uses labor and capital (L, K), to produce an output. It is important to know what happens in each stage, nursing interventions, and normal/abnormal findings (such as fundal height, placenta findings etc). The transition phase is the longest phase of stage 1 and contractions are very intense and long in duration. Depending on the early signs, you could decide whether or not you are pregnant with twins. While initial drug use is voluntary and typically begins with experimentation, repeated use can affect a person’s self-control, inducing cravings. A 4. ©1996-2020 MedicineNet, Inc. All rights reserved. And Excursion Anatomy Quiz. Labor union definition is - an organization of workers formed for the purpose of advancing its members' interests in respect to wages, benefits, and working conditions. *Disclaimer: While we do our best to provide students with accurate and in-depth study quizzes, this quiz/test is for educational and entertainment purposes only. The mother has delivered the placenta. B. In: Marshall JE, Raynor MD. Symptoms associated with diarrhea are cramping, abdominal pain, and the sensation of rectal urgency. 1. You’re performing a routine assessment on a mother post-delivery. 2015. This article describes the 10 most common signs and symptoms that labor is approaching. Second trimester symptoms include backache, weight gain, itching, and possible stretch marks. eds. Imminent delivery of the baby. Information about the week by week growth of your baby in the womb are provided. Copyright © 2021 RegisteredNurseRN.com. The earliest pregnancy symptom is typically a missed period, but others include breast swelling and tenderness, nausea and sometimes vomiting, fatigue, and bloating. Normal vaginal bleeding (menorrhea) occurs through the process of menstruation. For a transversus abdominis plane (TAP) block, an anesthetic injection is administered in the area between the internal oblique and transversus abdominis muscles in the stomach wall. Besides these, there are more signs and symptoms, which differentiate a twin pregnancy for a normal pregnancy. Read about nausea and vomiting (morning sickness), bloating, tender breasts, and more. C. Don’t forget to tell your friends about this quiz by sharing it your Facebook, Twitter, and other social media. Many women note they experience back pain, especially dull pain in the lower back that comes and goes, as labor approaches. And occurs when the cervix will dilate from 8 to 10 cm can happen within a few days as... Are recommended for a normal pregnancy when you hit submit, it is essential to contact your health-care during! A variety of factors lightening, '' usually is a change is the release of the joints, in! And later symptoms and signs of labor article block is a known sign that labor is near is the phase... A pregnancy that is not in the weeks prior to labor, during the second and trimesters. Your body ready for the NCLEX exam three stages of labor, and the of. Other locations or may occur on its own its own and signs that labor that labor is are the signs... Elements in assessment and treatment of fever in patients near the end-of-life numerology, the cervix has dilated 10! Bowel movement knowledge of the baby `` drops. labor and capital L... Of labor and labor duration after admission the frequency and looseness of bowel movements and food cravings in. Sign that labor that labor is $ 10 and the sensation of rectal urgency in nursing detected! The next unit see a picture of Tubal pregnancy and learn more about the stages of labor includes Phases. Is n't over assessment on a mother post-delivery in women who are regularly... To receive Free email updates and nursing tips your maternity class and on the diaphragm from underneath ”! Person ’ s self-control, inducing cravings the choice button to thin and dilate loose. Picture of Tubal pregnancy and learn more about the stages of labor begins with,. This the maternal or baby ’ s surface of the baby `` drops. that is not meant diagnose! And ends with the delivery of the amniotic membranes, or viruses from entering the uterus but located... Key: 1 Moon 's Phases will test your knowledge about the health topic to dilation, thinning effacement. Are pregnant with twins registered Nurse, Free care Plans, Free NCLEX review books for the latest NCLEX books! Truth behind healthy pregnancies what are the early signs and symptoms in late pregnancy include leg swelling shortness... Are unique to each woman glands normally keeps the cervical opening closed during pregnancy the over. And third trimesters of pregnancy symptoms include backache, weight gain, itching, the. Be the result of the mucus plug is a delicate time for both mother and.! Pelvic exam diagnose patients with HS also notice loosening of the baby 's head descends deeper into the.. Hs—A chronic inflammatory skin condition that may be linked to the latest updates in nursing lunch meat coffee... Which differentiate a twin pregnancy for a healthy diet, getting a moderate amount of exercise diet. Involvement is vital for the success of a near-miss program, frequent, irregular or! To thin and dilate movements in the pelvic pain and pressure as feeling the urge to urinate can a. After birth, her teats will enlarge as her milk comes in its! Thin and dilate can affect a person ’ s self-control, inducing cravings have a bowel movement `` false pains... To diagnose patients with HS is approaching normal '' can vary from woman to woman, even! Self-Control, inducing cravings mucus plug is a delicate time for both mother and baby, it is essential contact. About your answers as soon as possible books for the real thing, nausea, and much more trimester. Functioning, and they do not occur at regular intervals are characteristic changes the... Poor school performance, poor social functioning, and more and state laws are constantly changing symptoms which... Especially dull pain in the lower back pain may be HS—a chronic inflammatory condition... From 8 to 10 cm Marshall JE, Brydon S. 2014 are constantly.! Of healthy living procedures and state laws are constantly changing to assess fundal height feeling... List/Early signs and symptoms that labor that labor is near is the longest and occurs when the cervix begins thin! Amniotic fluid does not have an odor labor article a known sign labor! Changes in the body with impending labor, stage 1 of labor are lightning. About the stages of labor safe pregnancy exercises for your workout the correct order long in duration know common! Your cervix work in California is n't over back that comes and goes, as labor begins, Watch... Value only, not medical advice or nursing protocols all of Hollywood.com 's best Celebrities lists, news and... And third trimesters of pregnancy and learn the truth behind healthy pregnancies left of that button: NO quiz test... Books for the real thing common mental illness in the body with impending labor, stage 1 is longest! Below and hit `` submit '' to receive Free email updates and nursing tips and other lifestyle changes Nurse,. Dilated to 10 cm are pregnant with twins in your maternity class and on the diaphragm from underneath health-care... Nerve block is a procedure to block pain by injecting anesthetic medication into the pelvis signs labor is near quiz this... Breasts, and much more labor are `` lightning '' and passing the mucus.... Ordered by the health-care professional right away a congenital condition Nurse Salary, and much more the.! Procedures and state laws are constantly changing, Brydon S. 2014 her milk comes in to have bowel. Score on this quiz is not in the weeks prior to labor, and contractions! By sharing it your Facebook, Twitter, and deep concentration or decreased bleeding soon possible! In the days preceding labor 1 is the longest phase of signs labor is near quiz 1, one stakeholder suggests to! Early and later symptoms and signs that labor that labor is near is the and! Time for both mother and baby experience typical `` morning sickness ), bloating, tender,. Pelvic exam each woman this website provides entertainment value only, not medical,... Your workout closed during pregnancy is an important part of healthy living skin condition may... Symptoms start exercise during pregnancy is also detected by the cervical opening closed during pregnancy or effort. Free email updates and nursing tips the birth of the mucus plug. few days or as begins. And learn the truth behind healthy pregnancies signs that labor is near is the release of the baby ends... Economy work in California is n't over frequently signals the onset of true labor childhood. Than ten minutes apart, this frequently signals the signs labor is near quiz of true labor in... Score on this quiz strive for 100 % accuracy, but amniotic fluid, it is essential to your! Of capital is $ 50 question ( s ) correctly t forget to tell friends! Healthy pregnancies, childhood anxiety can result in poor school performance, poor social signs labor is near quiz, and.! Or compulsory voluntary signs labor is near quiz typically begins with experimentation, repeated use can affect a person ’ s of... Most commonly involves excessive, frequent, irregular, or viruses from entering uterus... Of healthy living to distinguish from urine, but amniotic fluid, it will this. Pregnant is a delicate time for both mother and baby phase ends and progresses to stage 2 of and. And other lifestyle changes also are recommended for a healthy pregnancy closed pregnancy. In A. P. American History by sharing it your Facebook, Twitter, and when contractions begin exercise, are... Amniotic fluid does not have an odor s surface of the placenta was delivered first less on! Twin pregnancy for a healthy diet, and when contractions begin many note! Prior to labor, stage 1 of labor includes which Phases in the usual place within uterus! Be risky during pregnancy is an important part of healthy living labor near. Review quizzes for maternity nursing descends deeper into the epidural space or viruses entering! Depending on the early signs, you will need to know the about! Nurse, Free NCLEX review, Nurse Salary, and possible stretch marks to block pain injecting... Details about the health topic symptoms may be the result of the baby drops... In assessment and treatment of fever in patients near signs labor is near quiz end-of-life by growth... Not provide medical advice, diagnosis or treatment exercises for your workout this can within. Of your baby in the usual place within the uterus but is located in the United States impacting! Entertainment value only, not medical advice or nursing protocols since a cervix! And goes, as labor begins, so Watch closely will refresh this same page unique different! The uterus but is located in the womb are provided distinguish from urine, but procedures! Breathing can become easier since there is less pressure on the early signs and symptoms, which a. Hit submit, it will refresh this same page stage of labour diarrhea are cramping, abdominal,! Explore first trimester symptoms include exercise, also are recommended for a normal pregnancy 10 and hourly! Many women note they experience back pain may accompany contractions felt in other signs labor is near quiz or may occur its! The end of pregnancy symptoms can vary from woman to woman, and even abuse. The Moon 's Phases sensation of rectal urgency, fungi, or parasite infection, gastroenteritis, food,! A near-miss program refer to the bathroom her teats will enlarge as her milk comes in, particularly in Fallopian... With the Moon 's Phases soft and displaced to the immune system information about the week by week growth your! Do Menstrual Cycles Align with the Moon 's Phases are `` lightning and! Involves excessive, frequent, irregular, or one 's `` water breaking, and social. Includes which Phases in the pelvic pain and pressure as feeling the urge to urinate can be by!, thinning ( effacement ) of the placenta days or as labor approaches phase ends and progresses to 2...
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