Moderate

During the second stage of an uncomplicated labour, which maternal position generally supports effective pushing and fetal descent?

Correct answer: B. Upright or side-lying with comfort support

  • A. Supine with the legs kept straight
  • B. Upright or side-lying with comfort support
  • C. Prone with the abdomen compressed
  • D. Flat on the abdomen with hips extended

Explanation

Upright or side-lying positions can promote comfort, pelvic movement and fetal descent while reducing aortocaval compression. A flat supine position may reduce venous return and can make maternal hypotension more likely.

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Normal labour covers the onset and stages of labour, cervical effacement and dilatation, fetal lie and presentation, the cardinal movements, and maternal and fetal monitoring. It includes partograph use, pain relief, normal vaginal birth, active management of the third stage, placental assessment and immediate care after delivery.

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