The fetus in a breech presentation is often born by cesarean birth because:
a. the buttocks are much larger than the head.
b. compression of the umbilical cord is more likely.
c. internal rotation cannot occur if the fetus is breech.
d. postpartum hemorrhage is more likely if the client delivers vaginally.
ANS: B
After the fetal legs and trunk emerge from the client's vagina, the umbilical cord can be compressed between the maternal pelvis and the fetal head if a delay occurs in the birth of the head. The head is the largest part of a fetus. Internal rotation can occur with a breech. There is no relationship between breech presentation and postpartum hemorrhage.
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