Practice Quiz

CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

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A second gravida is (at 35 weeks of pregnancy) has experienced no fetal movement for two days. Which of the following is a probable diagnosis?
  1. Intrauterine infection
  2. Intrauterine death
  3. Fetal distress
  4. None of the above
Explanation
Answer: B - Intrauterine death

Interruption of pregnancy with death of the fetus beyond 20 weeks of pregnancy is termed intrauterine fetal death (or stillbirth). The management of intrauterine death includes:

1. Maternal reassurance and psychological support
2. Continued monitoring of the patient
3. Controlled infusion of heparin if necessary
4. Patient can return to the home environment
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