Case Study:

AA 26-year-old G4 P3 woman gives birth via normal spontaneous vaginal delivery at term. The infant has Apgar scores of 9 and 10 at 1 and 5 minutes and weighs 2950 gm. The placenta is delivered 10 minutes later and weighs 500 gm. Examination of the placenta reveals that the umbilical cord is 100 cm long.
Which of the following abnormalities is most likely to have been observed?
A Velamentous insertion

B Placenta previa

C Abruptio placenta

D Amnion nodosum

E Nuchal cord
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Answer / Explanation:

[HIDE]

(E) CORRECT.

A long umbilical cord from increased fetal movement can more easily wrap around the fetus.[/HIDE]