Practice Quiz

CPM Certified Professional Midwife

Category - Prenatal

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A midwife is reviewing the history of a client at 43 weeks’ gestation. The client informs the midwife that she was supposed to give birth a few weeks ago, but she has still not gone into labor. Which of the following details of information about the client may have possibly increased her risk for post - term pregnancy?
  1. It is the client’s third pregnancy.
  2. The client is expecting a female baby.
  3. The client has a short menstrual cycle.
  4. The client is receiving a high dose of salicylates.
Explanation
Answer: D - A client receiving a high dose of salicylates increases her risk for post - term pregnancy. Salicylates interfere with the synthesis of prostaglandins, the substances responsible for the initiation of labor. The other risk factors for post - term pregnancy include primiparity, male gender of the fetus, a prior post - term pregnancy and genetics. Inaccurate dating is the common cause of post - term pregnancies. Females who have long menstrual cycles do not ovulate on day 14 of the cycle, so females ovulating on day 25 or 30 may give birth late by as many as 17 days.
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