North American Registry of Midwives (NARM) Practice Exam

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What would be the danger of high quantities of Vitamin C taken near the time of delivery?

Gestational diabetes
Newborn withdrawal symptoms
Increased bleeding risk
Labor complications

The correct answer is: Newborn withdrawal symptoms

High quantities of Vitamin C taken near the time of delivery can lead to newborn withdrawal symptoms due to the physiological adaptations that occur during pregnancy. When a pregnant individual consumes large amounts of vitamin C, especially in supplementation form, the fetus can become dependent on those elevated levels. After birth, if the mother abruptly reduces her vitamin C intake or if the vitamin C levels drop significantly, the newborn may experience withdrawal symptoms. This occurs because the infant's body begins to adjust to the absence of the elevated nutrient, which can affect the baby’s well-being post-delivery. With regards to the other options, gestational diabetes is typically related to carbohydrate intake and isn't directly influenced by vitamin C levels. Increased bleeding risk is more associated with other factors, such as clotting disorders or medications like anticoagulants, rather than vitamin C intake. Labor complications can arise from a variety of issues but are not specifically linked to high vitamin C consumption close to delivery.