Which sign most strongly suggests that the placenta has separated from the uterine wall?

Correct answer: B. The umbilical cord lengthens visibly

  • A. The uterus becomes soft and broad
  • B. The umbilical cord lengthens visibly
  • C. The mother's pulse becomes slower
  • D. The fetal head begins to crown

Explanation

Placental separation is suggested by a firm, globular uterus, lengthening of the cord and a gush of blood. Crowning occurs before birth of the baby, not during placental separation.

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About Normal Labour and Delivery

Normal labour covers the onset and stages of labour, cervical effacement and dilatation, fetal lie and presentation, the cardinal movements, and maternal and fetal monitoring. It includes partograph use, pain relief, normal vaginal birth, active management of the third stage, placental assessment and immediate care after delivery.

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