Intrapartum care: fetal malpresentation: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Intrapartum care: fetal malpresentation

Sample item

Which fetal presentation is generally incompatible with vaginal delivery if persistent?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Transverse lie

Persistent transverse lie presents the fetal shoulder and cannot negotiate the birth canal. It carries risk of cord prolapse and uterine rupture if labor continues, so delivery planning is required.

Option by option

  • A. Left occipitoanterior position

    Left occipitoanterior is a normal vertex position.

  • B. Transverse lie (correct)

    Correct. A transverse fetal axis cannot deliver vaginally if it persists.

  • C. Occipitoanterior vertex

    Occipitoanterior vertex is the most favorable vaginal presentation.

  • D. Flexed vertex presentation

    Flexion of the vertex presents the smallest head diameter.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is B, Transverse lie. Persistent transverse lie presents the fetal shoulder and cannot negotiate the birth canal.

Why is "Left occipitoanterior position" not the answer?

Left occipitoanterior is a normal vertex position.

Why is "Occipitoanterior vertex" not the answer?

Occipitoanterior vertex is the most favorable vaginal presentation.

Why is "Flexed vertex presentation" not the answer?

Flexion of the vertex presents the smallest head diameter.

What concept does this question test?

It tests Intrapartum care: fetal malpresentation in OBG. It carries risk of cord prolapse and uterine rupture if labor continues, so delivery planning is required.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Intrapartum care: fetal malpresentation?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.