Which of the following is an indication of imminent birth?

• A. Crowding of the head.
• B. Rupture of membranes.
• C. Delivery of the placenta.
• D. The mother asking for pain relief.

Answer: (A)

The main sign being tested is the appearance of the baby at the birth canal—when the head becomes visible at the vaginal opening, often with the perineum bulging. This indicates birth is imminent and will occur within minutes, so you should be ready to assist with the delivery and protect the newborn’s first moments. Rupture of membranes can happen earlier in labor and doesn’t by itself mean imminent birth. Delivery of the placenta happens after the baby is born. A mother asking for pain relief reflects her comfort needs but doesn’t indicate how close birth is.