North American Registry of Midwives (NARM) Practice Exam

What generally characterizes maternal exhaustion during labor?

1. Increased maternal activity

2. Significant energy levels

3. Feeling weak and apathetic

4. Low risk of dehydration

The correct answer is: Feeling weak and apathetic

Maternal exhaustion during labor is primarily characterized by feelings of weakness and apathy. Labor can be an extended period of physical and emotional stress, which can lead to fatigue as the mother expends a great deal of energy. As labor progresses, it is common for women to experience diminishing energy levels, resulting in a lack of motivation and increased difficulty in managing contractions. This feeling of weakness can hinder their ability to cope with labor pains and may also affect their decision-making and overall engagement in the birthing process. In contrast, increased maternal activity and significant energy levels are not representative of exhaustion; rather, they might be indicators of a different labor phase or maternal response. Additionally, the notion of a low risk of dehydration does not align with the potential for prolonged labor, which often increases fluid loss and can exacerbate feelings of fatigue. Overall, the feelings of weakness and apathy are critical indicators of maternal exhaustion and highlight the importance of support during labor to help manage this challenging phase.