North American Registry of Midwives (NARM) Practice Exam

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Flexion attitudes in fetal positioning usually result in which types of presentations?

Breech and Transverse
Anterior and Posterior
Face and Breech
Cephalic and Vertical

The correct answer is: Anterior and Posterior

Flexion attitudes in fetal positioning are characterized by the fetal chin being tucked down towards the chest, which allows for a more compact and optimal presentation during labor. This positioning is most commonly associated with both anterior and posterior presentations. In an anterior presentation, the back of the fetus is facing the mother’s abdomen, which is the most favorable position for delivery as it typically results in shorter labors and less intervention. Conversely, in a posterior presentation, the fetus’s back faces the mother’s spine, which can lead to a longer labor and increased discomfort. However, both presentations share the common attribute of fetal flexion, where the fetal head is tucked, facilitating the engagement into the pelvic inlet. This understanding highlights how flexion attitudes play a significant role in determining the fetal presentation during labor, impacting the overall delivery process. The other options do not accurately reflect the results of fetal flexion attitudes in terms of their impact on presentations.