Fetal Malpresentation Quiz and Flashcards

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Questions and Answers

What is the recommended course of action for a face presentation with a posterior mentum (chin)?

Proceed with vaginal delivery and monitor for signs of fetal distress

Anticipate cesarean delivery due to increased risk of complications (correct)

Attempt external cephalic version to convert to vertex presentation

Anticipate vaginal delivery if the pelvis is adequate

What is a common occurrence in infants born via face presentation?

Respiratory distress

Shoulder dystocia

Umbilical cord prolapse

Edema and bruising of the face and eyes (correct)

In a brow presentation, what is the presenting part?

The vertex (top of the head)

The chin (mentum)

The forehead (correct)

The occiput (back of the head)

What is the appropriate method for fetal heart rate monitoring during a face presentation?

Use external fetal heart rate monitoring Signup and view all the answers

What is the recommended course of action for a brow presentation?

Monitor for spontaneous conversion to vertex or face presentation Signup and view all the answers

What is the primary characteristic of a sincipital presentation?

Moderate flexion of the fetal head Signup and view all the answers

Which type of breech presentation has the highest risk of umbilical cord prolapse?

Incomplete (footling) breech Signup and view all the answers

Which maternal risk is associated with a breech presentation?

All of the above Signup and view all the answers

What is the primary reason that most breech presentations are delivered by cesarean section?

Increased morbidity and mortality of the fetus Signup and view all the answers

What is the primary purpose of administering terbutaline during an external cephalic version?

To relax the uterine muscles Signup and view all the answers

What is the preferred method of delivery for a shoulder presentation?

Cesarean section Signup and view all the answers

What is the most common type of compound presentation?

Hand or arm prolapsing beside the head Signup and view all the answers

Which nursing diagnosis is most important for a client with a malrepresentation?

Risk for injury Signup and view all the answers

What is the primary risk associated with a compound presentation?

Increased risk of cord compression and prolapse Signup and view all the answers

What is the primary nursing intervention for a client with a malrepresentation?

All of the above Signup and view all the answers

Study Notes

Face Presentation

With a posterior mentum (chin), the recommended course of action is to allow the baby to rotate to an anterior mentum, facilitating a safer delivery.
Infants born via face presentation often have a higher risk of facial bruising and swelling.

Brow Presentation

The presenting part is the brow, which can lead to a more difficult delivery due to the larger diameter of the fetal head.
The recommended course of action for a brow presentation is to allow the baby to convert to a vertex (normal head-down) position or consider cesarean section if necessary.

Fetal Heart Rate Monitoring

During a face presentation, internal fetal heart rate monitoring is the appropriate method, as it provides more accurate information.

Breech Presentation

The highest risk of umbilical cord prolapse is associated with a footling breech.
Maternal risks associated with a breech presentation include increased risk of hemorrhage and infection.
The primary reason most breech presentations are delivered by cesarean section is to reduce the risk of fetal head trauma and maternal complications.
Maternal risk associated with a breech presentation is increasing age.

External Cephalic Version

The primary purpose of administering terbutaline is to relax the uterus, facilitating a successful version.

Shoulder and Compound Presentations

The preferred method of delivery for a shoulder presentation is cesarean section.
The most common type of compound presentation is the hand and head.
The primary risk associated with a compound presentation is fetal distress and birth trauma.

Nursing Diagnosis and Interventions

The most important nursing diagnosis for a client with a malrepresentation is risk for injury.
The primary nursing intervention for a client with a malrepresentation is to closely monitor fetal heart rate and maternal well-being, preparing for potential complications.

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Description

Test your knowledge on fetal malpresentations including vertex, breech, shoulder, and compound presentations. Learn about brow presentation where the forehead is the presenting part and face presentation with risks of prolonged labor and operative delivery.