The perinatal nurse describes different breech positions to the student nurse. The fetal position with extended legs toward the fetal shoulders is best described as which of the following?
A. Complete breech
B. Footling breech
C. Frank breech
D. Incomplete breech
ANS: C
There are three types of breech presentations: frank, complete, and footling. The frank breech is the most common of all breech presentations. In this position, the fetal legs are completely extended up toward the fetal shoulders. The hips are flexed, the knees are extended, and the fetal buttocks present first in the maternal pelvis. The complete, or full, breech position is the same as the frank breech position, except the knees are flexed and the legs crossed, with the fetal buttocks presenting first. In the footling breech position, one or both of the fetal leg(s) are extended, with one foot ("single footling") or both feet ("double footling") presenting first into the maternal pelvis.
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