A patient at 36 weeks gestation presents to the clinic for a routine visit. Palpation of the uterus reveals a soft, irregular mass in the fundus and a hard, round mass in the lower... A patient at 36 weeks gestation presents to the clinic for a routine visit. Palpation of the uterus reveals a soft, irregular mass in the fundus and a hard, round mass in the lower uterine segment. What fetal presentation is MOST likely?
Understand the Problem
The question describes a scenario where a pregnant patient's uterus is palpated to determine the fetal presentation. The findings suggest a soft, irregular mass in the fundus (upper part of the uterus) and a hard, round mass in the lower uterine segment. We need to pick the most likely fetal presentation based on these findings.
Answer
Breech presentation is the most likely fetal presentation.
Based on the palpation findings, the most likely fetal presentation is breech. The soft, irregular mass in the fundus indicates the baby's buttocks, while the hard, round mass in the lower uterine segment suggests the head is in the lower part of the uterus.
Answer for screen readers
Based on the palpation findings, the most likely fetal presentation is breech. The soft, irregular mass in the fundus indicates the baby's buttocks, while the hard, round mass in the lower uterine segment suggests the head is in the lower part of the uterus.
More Information
At 36 weeks gestation, many fetuses are in a head-down (cephalic) position, but breech presentations are still possible.
Tips
It is important to consider all clinical information and possibly use ultrasound to confirm the presentation if there is any doubt. Leopold maneuvers are used to determine fetal position.
Sources
- Fetal Positions For Birth: Presentation, Types & Function - my.clevelandclinic.org
AI-generated content may contain errors. Please verify critical information
