A multiparous woman presents to the Maternal Health Clinic at 37 weeks' gestation with regular contractions occurring every 2 minutes lasting for 45-60 seconds with moderate intens... A multiparous woman presents to the Maternal Health Clinic at 37 weeks' gestation with regular contractions occurring every 2 minutes lasting for 45-60 seconds with moderate intensity. Her last pregnancy ended with a low transverse incision cesarean section. She is now pregnant with twins. Twin A is breech and twin B is cephalic. There has been a small amount of clear fluid leaking from the vagina for an hour. A nitrazine paper test turns blue-green in color. Pelvic examination shows a cervical dilation of 4 cm and 80% effacement. The obstetrician determines that a cesarean section is necessary. Which of the following is the most likely reason for a cesarean section? A. Ruptured membranes B. Previous caesarean C. Fetal presentation D. Fetal age
Understand the Problem
The question presents a clinical scenario where a multiparous woman at 37 weeks' gestation, with a history of a previous cesarean section, is now pregnant with twins (one breech, one cephalic), showing signs of possible ruptured membranes, and cervical changes. The question asks for the most likely reason for a necessary cesarean section.
Answer
Fetal presentation.
The final answer is C. Fetal presentation.
Answer for screen readers
The final answer is C. Fetal presentation.
More Information
In this scenario, the cesarean section is most likely due to the fetal presentation, specifically the breech presentation of Twin A. Breech positioning in twin pregnancies often leads to the recommendation for a cesarean delivery.
Tips
A common mistake is to assume previous cesarean is the primary reason, but obstetricians often consider the current fetal presentation critically.
AI-generated content may contain errors. Please verify critical information
