North American Registry of Midwives (NARM) Practice Exam

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What is the primary goal of the Brandt-Andrews maneuver after placental separation?

To initiate contractions
To ensure complete placental expulsion
To monitor fetal heart tones
To assess maternal hydration levels

The correct answer is: To ensure complete placental expulsion

The primary goal of the Brandt-Andrews maneuver after placental separation is to ensure complete placental expulsion. This technique involves applying controlled traction on the umbilical cord while supporting the fundus of the uterus to prevent uterine inversion and facilitate the delivery of any remaining placental tissue. By ensuring that the entire placenta is expelled, midwives can help reduce the risk of postpartum hemorrhage and other complications associated with retained placenta, such as infection or prolonged recovery time for the mother. While initiating contractions may be an incidental benefit of the maneuver, the main focus is on ensuring that the placenta is fully delivered. Similarly, monitoring fetal heart tones and assessing maternal hydration levels are not relevant to the immediate aim of managing the delivery process and ensuring that the uterus returns to a stable condition after delivery.