North American Registry of Midwives (NARM) Practice Exam

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Prepare for the North American Registry of Midwives Exam. Utilize flashcards and multiple choice questions, each with hints and explanations. Get ready to excel!

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Which presentation is diagnosed as longitudinal lie, head at or in the pelvis, back on the left, and cephalic prominence on the right?

Right Occipito-Posterior (ROP)
Left Occipito-Anterior (LOA)
Right Transverse Lie
Left Sacrum Anterior (LSA)

The correct answer is: Left Occipito-Anterior (LOA)

The description provided in the question indicates a specific fetal position known as the left occipito-anterior (LOA) presentation. In this case, the fetus is in a longitudinal lie, which means that the long axis of the fetus is parallel to the long axis of the mother. The next part of the description mentions that the head is in the pelvis with the baby's back on the left side of the mother, and the cephalic prominence (the part of the head that is most prominent and leading during labor) is noted to be on the right side. In the LOA position, the occiput (the back of the head) is facing the front left side of the mother's pelvis. This configuration supports the observation of the baby's back being on the left while the prominent part of the head is directed towards the right, aligning with the typical aspects of LOA presentation. The other options represent different presentations or positions of the baby. Understanding these distinctions is essential in midwifery practice since they influence delivery methods, maternal comfort, and fetal well-being during labor. Recognizing a LOA presentation helps in anticipating labor progress and participating in effective birthing strategies.