True labour — DRCOG MCQ

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ModerateLabourTrue labourDRCOG

A 19-year-old woman at 40 weeks has regular painful contractions with progressive cervical dilatation over two examinations. What is the most likely diagnosis?

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Correct answer: D — Established labour

Established labour is the best answer because the vignette is testing True labour and the recommended approach is consistent with NICE NG235. The other diagnoses do not explain the combination of timing, examination findings and investigation results as well as the correct diagnosis. Specifically, Endometriosis; Postpartum endometritis; Overactive bladder syndrome; Physiological neonatal jaundice would be suboptimal in this scenario. The key discriminator is the pattern across symptoms, examination and timing, not a single isolated symptom.

Reference: NICE NG235