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If a patient is in labor for her first delivery, what is the most reliable indication that delivery will happen imminently?

If a patient is in labor for her first delivery, what is the most reliable indication that delivery will happen imminently?
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If a patient is in labor for her first delivery, what is the most reliable indication that delivery will happen imminently?

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User Hahaha
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Answer:

crowining of the head (by seeing the hair of the baby on vaginal examination) , rupture of membranes

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User Dan Barowy
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