CNM Certified Nurse Midwife

Category - Intrapartum

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A client has just given vaginal birth to an eight-pound baby boy. A few minutes after the delivery, the nurse midwife observes lengthening of the umbilical cord and a gush of vaginal blood. The nurse midwife interprets these observations as:

Signs of hemorrhage.
Signs of placenta previa.
Signs of placental separation.
Signs of retained placental fragment.

Explanation

Answer: C - The nurse midwife interprets these as signs of placental separation. Placenta separation occurs minutes after birth as the uterus resumes contractions. The signs of placental separation include lengthening of the umbilical cord, a gush of vaginal blood and change in the shape of the uterus.

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