The standard of care for obstetrics dictates that an internal version may be used to manipulate the:
a. Fetus from a breech to a cephalic presentation before labor begins.
b. Fetus from a transverse lie to a longitudinal lie before cesarean birth.
c. Second twin from an oblique lie to a transverse lie before labor begins.
d. Second twin from a transverse lie to a breech presentation during vaginal birth.
ANS: D
Internal version is used only during vaginal birth to manipulate the second twin into a presentation that allows it to be born vaginally. For internal version to occur, the cervix needs to be completely dilated.
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