A client is in labor, and the nurse palpates her abdomen to assess the presentation of the fetus. Which of the following presentations indicates normal labor?
A) Breech presentation
B) Shoulder presentation
C) Brow presentation
D) Vertex presentation
D
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Vertex presentation occurs when the fetal head is flexed well against the fetal chest and the top of the fetal head is the presenting part. In normal labor, there is a vertex presentation. Complicated labor often occurs when body parts other than the top (crown) of the fetal head present. When the buttocks, foot, or knee is the presenting (lowest) part, it is called a breech presentation. The shoulder may be the presenting part if the fetus is lying in a transverse position. If the head is partially extended, then the brow presents.
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