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Multiple Choice

During labor, which finding would most strongly suggest the presence of a second fetus?

During labor, signs that point to multiple gestation include clues that aren’t typical for a single fetus. Extra amniotic fluid is a strong clue because twins can have more than one amniotic sac and thus more fluid than expected with one baby. This abnormal fluid volume prompts further evaluation to confirm if there is another fetus. The other options are less specific: prolonged labor can occur for many reasons, a normal fetal heart rate doesn’t rule out twins, and meconium-stained fluid signals distress or maturity rather than the number of fetuses. So the finding of additional amniotic fluid most strongly suggests a second fetus.

During labor, signs that point to multiple gestation include clues that aren’t typical for a single fetus. Extra amniotic fluid is a strong clue because twins can have more than one amniotic sac and thus more fluid than expected with one baby. This abnormal fluid volume prompts further evaluation to confirm if there is another fetus. The other options are less specific: prolonged labor can occur for many reasons, a normal fetal heart rate doesn’t rule out twins, and meconium-stained fluid signals distress or maturity rather than the number of fetuses. So the finding of additional amniotic fluid most strongly suggests a second fetus.