CPM Certified Professional Midwife

Category - The Postpartum Period

A pregnant woman is in labor. If the umbilical cord is placed by the side of the presenting fetal part (and is not felt by the fingers on internal examination), this complication is called______.
  1. Cord presentation
  2. Occult prolapse
  3. Cord prolapse
  4. Placenta previa
Explanation
Answer: B - Occult prolapse

If the umbilical cord is placed by the side of the presenting part (and is not felt by the fingers on internal examination), this is called occult prolapse. When the cord is slipped down below the presenting part (and is felt lying in the intact bag of membranes), it is called cord presentation. If the cord is lying inside the vagina (or outside the vulva) following rupture of the placental membrane, this is called cord prolapse.
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