North Carolina EMT State Practice Exam

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What does a bloody show during labor indicate?

  1. The beginning of the second stage of labor

  2. A potential complication

  3. The first stage of labor

  4. Active bleeding

The correct answer is: The first stage of labor

A bloody show during labor is typically recognized as the release of blood-tinged mucus from the cervix as it begins to dilate and efface in preparation for birth. This phenomenon is a normal sign that indicates the cervix is changing, which is predominantly associated with the first stage of labor. The appearance of a bloody show generally signals the start of labor progression, signaling to healthcare providers and the laboring individual that the body is moving toward active labor. While some might consider bloody show as a potential complication or associate it with active bleeding, in most contexts within the normal labor process, it is understood to signify the physiological changes occurring in the cervix rather than an immediate concern. Therefore, it is essential to interpret this sign accurately within the framework of labor stages.

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