Which observation would indicate that the placenta has separated from the uterine wall and is ready for delivery? A nurse in the delivery room is assisting with the delivery of a newborn infant. After the delivery of the newborn. the nurse assists in delivering the placenta.

Changes in the shape of the uterus

Signs of placental separation include lengthening of the umbilical cord. a sudden gush of dark blood from the introitus (vaginal). a firmly contracted uterus. and the uterus changing from a discoid (like a disk) to a globular (like a globe) shape. The client may experience vaginal fullness. but not severe uterine cramping.