North American Registry of Midwives (NARM) Practice Exam 2025 – The All-in-One Resource to Master Your Midwifery Certification!

In the context of abdominal palpation during pregnancy, the primary characteristic of a breech presentation is that the breech (the buttocks or lower limbs of the fetus) is located in the fundus of the uterus. When palpating a breech presentation, practitioners typically find that the rounded part of the fetus is situated higher up towards the fundus, while the head may be positioned lower in the pelvis or not engaged in the cervix at all. This positioning differs from a vertex presentation, where the head is located at the cervix and engaged.

Recognizing the position of the breech baby through palpation is crucial for midwives and healthcare providers, as it indicates the need for careful monitoring and potential interventions during labor. Understanding these landmarks can help ensure safety and proper management during delivery.