Fetal Malpresentations Quiz

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.

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.