Following an external cephalic version, which assessment finding ...

[jace]

Following an external cephalic version, which assessment finding indicates a complication?
 
  a. Onset of irregular contractions
  b. Maternal blood pressure of 110/70 mm Hg
  c. Deceleration of FHR to 88 bpm
  d. Maternal pulse rate of 100 bpm

Question 2

Which breech presentation should the nurse recognize as being favorable for an external cephalic version?
 
  a. 36-week gestation with low-lying placenta
  b. 38-week gestation with one previous cesarean
  c. 37-week gestation with fetal weight of 7 pounds
  d. 40-week gestation with several uterine fibroids

[batool]

Answer to Question 1

ANS: C
A serious risk of external cephalic version is that the fetus may become entangled in the umbilical cord, compressing its vessels and resulting in hypoxia. The onset of irregular contractions, maternal blood pressure of 110/70 mm Hg, and maternal pulse rate of 100 bpm are normal findings.

Answer to Question 2

ANS: C
An external cephalic version (changing the fetal presentation from breech to cephalic) is more successful when the pregnancy is at least 37 weeks and there is still adequate room and fluid to manipulate the fetus but prior to term or onset of labor. A low-lying placenta, previous cesarean birth, and uterine fibroids are contraindications for version.