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.