Gynaecology & Obstetrics Which cardiovascular change is physiological in last trimester of pregnancy: A Middiastolic murmur B Occasional atrial fibrillation C Shift of apical impulse laterally and upwards in left 4th intercostal space D Cardiomegaly 💡 Explanation Which cardiovascular change is physiological in last trimester of pregnancy: ✓ Correct Answer: C. Shift of apical impulse laterally and upwards in left 4th intercostal space