All of the following are complications of twin pregnancy, except?

Appeared in: UP CHO - 2018

Explanation

Ovulation is the release of an egg from the ovary, a normal physiological event that must occur for conception to take place.
It is part of the menstrual cycle and precedes pregnancy; it is not a complication that develops during gestation.
While the release of two eggs (hyperovulation) can lead to dizygotic (fraternal) twins, the process of ovulation itself is not a pathology or complication of the resulting pregnancy.

Option A: Preterm delivery is the most common complication of twin pregnancies, occurring in over 50% of cases due to uterine overdistension.
Option C: Low birth weight is a very frequent complication in twins, resulting from preterm birth and intrauterine growth restriction (IUGR).
Option D: Placental abruption is a serious complication with an increased incidence in twin pregnancies due to factors like uterine overdistension.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Complications of Multiple Gestation as background academic context rather than a clinical decision trigger.
Nurses play a crucial role in managing twin pregnancies by educating the patient about the signs and symptoms of complications, particularly preterm labor (e.g., regular contractions, pelvic pressure, backache).
Monitoring is key. This includes frequent blood pressure checks (for pre-eclampsia), urine protein assessment, and serial ultrasound scans to monitor fetal growth and well-being.
Nutritional counseling is vital, as women with twin pregnancies have higher caloric and nutrient needs to support the growth of two fetuses.

How to Approach the Question

First, identify the keyword "except." This indicates you are looking for the option that does NOT belong in the group.
The question asks for what is NOT a complication of twin pregnancy.
Evaluate each option: Is this a known complication that can arise during a twin pregnancy?
Option A, Preterm delivery: Yes, this is a very common complication.
Option B, Ovulation: No, this is a normal process that happens before pregnancy begins.
Option C, Low birth weight: Yes, this is a common fetal outcome.

Concept Tested & Keywords

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E6 Nelson Textbook of Pediatrics(2024) — Volume 1 pp. 1049-1051, 1048-1050

E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 58-72

Practise the full UP CHO - 2018

Attempt every question from this paper in a timed mock, then review the full solution for each one.