The Standard of Care for Obstetrics Dictates That an Internal

question 30

Multiple Choice

The standard of care for obstetrics dictates that an internal version may be used to manipulate the:

• A) fetus from a breech to a cephalic presentation before labor begins.
• B) fetus from a transverse lie to a longitudinal lie before cesarean birth.
• C) second twin from an oblique lie to a transverse lie before labor begins.
• D) second twin from a transverse lie to a breech presentation during vaginal birth.

---

Definitions:

Lacunae

Small spaces in bone or cartilage tissue that house cells, specifically osteocytes in bone and chondrocytes in cartilage.

Canaliculi

Small, channel-like structures in bones, through which nutrients and wastes are exchanged between blood vessels and osteocytes.

Periosteum

The periosteum is a thick layer of blood-rich connective tissue surrounding the bones, excluding the joint areas.

Trabeculae

A network of supporting fibrous or muscular strands in organs, notably seen in the structure of spongy bone and certain organs like the spleen.