Which of the following would indicate to the nurse that the placenta is separating?
A) Uterus becomes globular
B) Fetal head is at vaginal opening
C) Umbilical cord shortens
D) Mucous plug is expelled
A
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Placental separation is indicated by the uterus changing shape to globular and upward rising of the uterus. Additional signs include a sudden trickle of blood from the vaginal opening, and lengthening (not shortening) of the umbilical cord. The fetal head at the vaginal opening is termed crowning and occurs before birth of the head. Expulsion of the mucous plug is a premonitory sign of labor.
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