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OBG · Labour
Sample itemWhich feature best indicates established labour?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Regular painful contractions causing progressive cervical dilatation
Established labour requires regular uterine contractions associated with progressive cervical effacement and dilatation, rather than contractions alone.
Option by option
A. Regular painful contractions causing progressive cervical dilatation (correct)
Correct: progressive cervical change distinguishes labour.
B. Mucus discharge without contractions
Show may occur before labour is established.
C. A single episode of urinary frequency
Urinary frequency does not indicate labour onset.
D. Irregular painless Braxton Hicks contractions
Braxton Hicks contractions do not produce progressive dilatation.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.