Practice Quiz

CPM Certified Professional Midwife

Category - The Postpartum Period

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Malpresentation refers to other fetal presentations than the normal vertex presentation. Which of the following is a fetal (as opposed to maternal) cause of malpresentation of the fetus at delivery?
  1. Pelvic neoplasms
  2. Large baby (macrosomia)
  3. Placenta previa
  4. Short stature
Explanation
Answer: B - Large baby (macrosomia)

Large baby (or macrosomia) is a risk associated with excessive weight gain and obesity in pregnancy. In turn, macrosomia is associated with malpresentation at delivery.

Fetal causes of malpresentation include:
1. Large baby
2. Premature baby
3. Fetal congenital anomalies
4. Fetal attitude

Maternal causes of malpresentation include:
1. Contracted pelvis
2. Short stature
3. Multiparity
4. Pelvic neoplasms
5. Abnormal uterine shape
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