CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

After the placental delivery, which of the following is the next action of the midwife?
  1. Inspect the placenta.
  2. Obtain a baseline blood pressure.
  3. Administer oxytocin.
  4. Administer an antihypertensive.
Explanation
Answer: A - After the placental delivery, the next action of the midwife is to inspect the placenta. Before administering oxytocics, the midwife should ensure that the placenta is intact and without abnormalities. Inspection allows the midwife to determine if any of the cotyledons are left inside the uterus. The baseline blood pressure is obtained before administering oxytocin, since oxytocin may cause hypertension.
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