North American Registry of Midwives (NARM) Practice Exam

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In a fetal position diagnosed as LOT, where is the fetal back located?

Left side of the mother's abdomen
Right side of the mother's abdomen
Center of the mother's abdomen
Breech towards the left

The correct answer is: Left side of the mother's abdomen

In a fetal position described as Left Occipito-Transverse (LOT), the fetal back is positioned on the left side of the mother's abdomen. In this position, the back of the fetus is oriented towards the mother's left side, and the fetal head is facing towards the mother's right side. This orientation is significant as it often influences the dynamics of labor and delivery. Knowing the position helps midwives and healthcare providers manage labor effectively, anticipate potential complications, and assist with optimal positioning during birth. Understanding fetal positioning is crucial in midwifery practice, as it impacts the course of labor and can affect decisions regarding interventions or support needed during delivery.