Practice Quiz

CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

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A 40 year old pregnant woman (at 30 weeks of pregnancy) is experiencing severe vaginal bleeding. Eldery primigravida is a term used to describe a woman with a first pregnancy at 35 years of age or older. Of the following, which is the most likely complication experienced by this elderly primigravida?
  1. Prematurity
  2. Congenital malformation
  3. Abruptio placenta
  4. Intrauterine growth restriction (IUGR)
Explanation
Answer: C - Abruptio placenta

Abruptio placenta is a dangerous complication of pregnancy in which the placental lining has separated from the uterus. Other potential maternal complications of elderly primigravidae include:
1. Spontaneous abortion
2. Preeclampsia
3. Abruptio placenta
4. Postmaturity
5. Premature labor
6. Prolonged labor
7. Failed lactation

Prematurity, congenital malformations, and IUGR are possible fetal complications.
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