CPM Certified Professional Midwife

Category - The Postpartum Period

A prinigravida at 36 weeks of pregnancy complains of undue enlargement of her abdomen. Of the options, which is the likely cause of her condition?
  1. Pregnancy with twins (or triplets)
  2. Polyhydramnios
  3. Ovarian cyst
  4. All of the above
Explanation
Answer: D - All of the above

Causes of undue enlargement of abdomen can include:
1. Pregnancy with twins (or triplets)
2. Polyhydramnios
3. Ovarian cyst

Heart failure and cirrhosis can also cause abdominal distension. In both of these disorders, fluid accumulates in the abdomen and creates a sensation of fullness. Abdominal distension can also be a symptom of ovarian cancer. Women are more prone to bloating, and often identify these symptoms during menstruation.
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