CPM Certified Professional Midwife

Category - The Postpartum Period

A primigravida at 36 weeks of pregnancy has abdominal pain and blood-stained vaginal discharge? Of the following, which are indications of maternal distress in this period?
  1. Increased anxiety
  2. Increased dehydration
  3. Increasing pulse rate
  4. All of the above
Explanation
Answer: D - All of the above

The first stage of labor starts from the onset of true labor pain and ends with full dilatation of cervix. The second stage begins at full dilatation of cervix and ends with expulsion of the fetus. The third stage begins after expulsion of fetus, and ends with delivery of the placenta.

Signs of maternal distress in the first stage of labor include:
1. Anxiety
2. Dehydration
3. Rising pulse rate
4. Hot, dry vagina
5. Scanty, high colored urine
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