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Vaginal Delivery

The most common position for vaginal delivery is which of the following?

a. Squatting

b. Knee-chest

c. Dorsal lithotomy

d. None of the above

At the time of perineal distention prior to vaginal delivery, which of the following is correct?

a. Most presentations are occiput posterior.

b. Infrequently the vertex may be occiput anterior.

c. The encirclement of the largest diameter by the vulvar ring is called crowning.

d. All of the above

Which of the following maneuvers may protect the perineum during delivery?

a. Slow delivery of the head

b. One-hand support of the perineum

c. Guidance to deliver the smallest head diameter through the introitus

d. All of the above

Which of the following is true regarding nuchal cords?

a. Found in 25% of deliveries at term

b. Are more common in preterm infants

c. Tight nuchal cords are associated with 10% of all deliveries

d. Presence of a nuchal cord is associated with worse neonatal outcomes

Following delivery of the fetal head, which of the following occurs?

a. The head rotates anterior

b. The head undergoes internal rotation

c. The head undergoes external extension

d. The head rotates into the transverse position

All except which of the following statements regarding delivery of the fetal body are true?

a. Usually delivers without delay after the shoulders.

b. Hooking the axillae can be employed to hasten delivery of the body.

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