North American Registry of Midwives (NARM) Practice Exam

Which maternal vital sign typically remains elevated in the immediate postpartum period?

1. Pulses

2. Blood pressure

3. Heart rate

4. Respirations

The correct answer is: Respirations

In the immediate postpartum period, maternal heart rate is the vital sign that typically remains elevated. Following delivery, it's common for a woman to experience a rise in heart rate due to various physiological changes, including the reduction in blood volume and fluctuations related to labor and delivery. These changes can stimulate the cardiovascular system, leading to an increased heart rate as the body begins to adjust back to its non-pregnant state. Conversely, other vital signs may not exhibit the same consistent elevation. For instance, blood pressure can fluctuate but often stabilizes or remains within a normal range shortly after birth. Similarly, although pulse rates can experience temporary increases, it's heart rate that more significantly reflects the physiological adaptations occurring during the immediate postpartum phase. Respiration rates might slightly increase due to excitement or pain but typically remain stable when the mother is rested. Understanding the expected changes in vital signs during this time is crucial for monitoring the mother's recovery and identifying any potential complications.