Multifetal gestation Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 36-year-old woman, gravida 3, para 2, presents for a routine antenatal appointment at 32 weeks estimated gestational age (EGA). The twin pregnancy has been uncomplicated. History is notable for two prior uncomplicated spontaneous vaginal deliveries at term, with neonates weighing 3800 g and 3900 g, respectively. The patient takes prenatal vitamins and a daily aspirin. Temperature is 36.7°C (98.1°F), pulse is 78/min, respirations are 16/min, and blood pressure is 118/76 mmHg. The abdomen is non-tender, and the symphysis-fundal height is 33 cm. Ultrasound shows that Baby A (the presenting twin) is in a breech presentation with a fetal heart rate (FHR) of 140/min and an estimated fetal weight (EFW) at the 23rd percentile for EGA; Baby B is in a vertex presentation with a FHR of 150/min and an EFW at the 20th percentile for EGA (14% discordance). A triangular wedge of hyperechoic material is present at the base of a thick intertwined membrane. What is the most appropriate delivery plan to discuss with this patient based on today’s findings?

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