Practice Quiz

CPM Certified Professional Midwife

Category - The Postpartum Period

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A third gravida at 38 weeks of pregnancy complains of intermittent abdominal pain. Examination reveals that the uterus is contracting and retracting. Which of the following is the recommended management for her?
  1. Reassurance and encouragement
  2. Sedative drug prescription
  3. Proper rest and ambulation
  4. None of the above
Explanation
Answer: A - Reassurance and encouragement and C. Proper rest and ambulation

This is a case of a third gravida in the first stage of labor. 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.

Recommended management in the first stage of labor includes:
1. Reassurance and encouragement
2. Continuous supervision
3. Strict maintenance of personal hygiene
4. Company and privacy
5. Proper rest and ambulation
6. Relief of pain
7. Bladder care
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