The perinatal nurse is explaining to a nursing student that which of the following are problems more frequently associated with twin gestation births? (Select all that apply.)
A.
Adherent placentas and bleeding
B.
Intrauterine growth restriction
C.
Long-term fetal disabilities
D.
Abnormal fetal presentations
E.
Requirement for cesarean delivery
ANS: A, B, C, D
Twins and higher-order multiple-gestation births are associated with more maternal and fetal
complications, including excessive bleeding from adherent placentas, intrauterine growth restriction, long-term fetal disabilities such as cerebral palsy, and multiple fetal presentations. A woman with twins who presents at 38 weeks' gestation or later may be a candidate for a vaginal delivery.
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