Page 256 - Critical Maternity & Newborn Health Nursing

c. Fetal diameter is longer than any of the diameters of the pelvic

inlet.

d. Maternal pelvic diameter is adequate to fetal diameter

Scenario IV:

A 37 weeks woman, para 4, has an extended breech presentation.

The placenta is not low, and she is keen to deliver vaginally.

Question 1 to 3 based on the previous scenario:

1.What is the best management for this case?

a- No intervention

b- Cesarean section

c- Breech extraction

d- External cephalic version

2. When this case became in advanced labor with a breech presentation.

She is fully dilated, has been pushing for an hour and the buttocks are

not visible, what is the best management?

a- No intervention

b- Vaginal delivery

c- Cesarean section

d- Breech extraction

3. With a fetus in the left anterior breech presentation. the nurse would

expect the fetal heart rate would be most audible in which of the

following areas?

a- In the lower-right maternal abdominal quadrant

b- Above the maternal umbilicus and to the left of midline

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