Characteristics of normal breech births

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Question 1 of 7

1. Question
Once the pelvis is born (bitrochanteric diameter), we recommend the birth should be complete within how many minutes, including time for hands-on interventions if required?
- 7 minutes
- 5 minutes
- 3 minutes
- 39 seconds
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Question 2 of 7

2. Question
We recommend that the birth is complete within 7 minutes of:
- the time you decide to intervene
- the birth of the pelvis
- when the nipple line is visible
- rumping — the point when both buttocks are visible on the perineum and remain visible between contractions
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Question 3 of 7

3. Question
Which of the following is ‘normal for breech’?
- The woman will often continue to bear down (push), even between contractions, once the baby starts to emerge.
- In most breech births, the sacrum is born in a direct sacrum anterior position.
- There may be two or three contractions between the birth of the pelvis and the birth of the arms.
- Contractions come closer together once the baby starts to emerge.
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Question 4 of 7

4. Question
Once the pelvis is born, with descent, the baby will rotate:
- in a sacrum-anterior direction ('tum to bum')
- so that the back is uppermost
- Counter-clockwise
- Only if there is a significant problem
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Question 5 of 7

5. Question
Which of the following is ‘normal for breech?’
- Meconium-stained liquor is common.
- Thick, black, tar-like meconium is passed as the pelvis is born.
- Light brown meconium is present throughout second stage.
- Any meconium is unusual and a cause for concern.
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Question 6 of 7

6. Question
After the arms are born, the fetal head is born by:
- Flexion and maternal effort
- Pressure from the fundus during the next contraction
- Forceps
- Gently pulling down on the fetal torso
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Question 7 of 7

7. Question
After the baby is born, you should:
- cut the cord as soon as possible to enable the baby to be checked over by the neonatal team.
- assist the mother to greet her baby, gently passing the baby through her legs if necessary, and helping her into a comfortable position.
- lift the baby up behind the mother so that s/he is equal to or above the placenta, to prevent polycythemia and jaundice.
- initiate resuscitation immediately.
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Characteristics of normal breech births

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