North American Registry of Midwives (NARM) Practice Exam

Slight proteinuria (trace, 1 +) is common in labor for what proportion of women?

1. A third to half

2. Almost all

3. None

4. Only primiparas

The correct answer is: A third to half

Slight proteinuria, characterized as trace or 1+ amounts in the urine, is commonly observed during labor due to a variety of physiological changes that occur in a woman's body as she prepares for childbirth. This condition can be attributed to the stress of labor, which may lead to transient changes in kidney function and increased protein leakage into the urine. Approximately one-third to half of women in labor experience this mild level of proteinuria, making it a normal finding rather than an indication of pathology in most cases. This understanding is vital for midwives and healthcare providers, as it helps prevent unnecessary concern about potential complications such as preeclampsia if the protein levels are low and no other concerning symptoms are present. Recognizing this commonality aids in the proper assessment and monitoring of laboring women, ensuring that true abnormalities can be identified promptly.