Birth for the nulliparous client with a fetus in a breech presentation is usually:
a. cesarean section.
b. vaginal birth.
c. vacuumed extraction.
d. forceps-assisted birth.
ANS: A
Birth for the nulliparous client with a fetus in breech presentation is almost always cesarean section. The greatest fetal risk in the vaginal birth of breech presentation is that the head (largest part of the fetus) is the last to be delivered. The birth of the rest of the baby must be quick so the infant can breathe. Serious trauma to maternal or fetal tissues is likely if the vacuum extractor birth is difficult. Most breech births are difficult. The health care provider may assist rotation of the head with forceps. A cesarean birth may be required.
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