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Title: A patient pregnant with twins late in the 3rd trimester has an ultrasound that shows the position of ... Post by: Tbreland05 on Oct 25, 2018 A patient pregnant with twins late in the 3rd trimester has an ultrasound that shows the position of the fetuses as follows. What should the nurse expect will be planned for this patient?
1. Cesarean birth 2. Vaginal delivery 3. Spinal block during labor 4. Continuous lumbar epidural Title: A patient pregnant with twins late in the 3rd trimester has an ultrasound that shows the position of ... Post by: Marostegui on Oct 25, 2018 1
Rationale: Many practitioners choose to deliver any nonvertex presentation via cesarean birth. In 20% of cases, twin A is nonvertex and requires a cesarean birth. Approximately 40% of twins present in a vertex/vertex presentation. More than 80% of twins in vertex/ vertex presentation are born vaginally. Since the patient will need a cesarean birth, spinal block and continuous lumbar epidural will not be indicated. |