NREMT Paramedic Practice

What characterizes a frank breech presentation?

1. The infant's head is delivered first

2. The infant's butt is delivered first, with legs above head

3. The infant is foot first with legs incompletely flexed

4. The fetal shoulders are in a transverse position

The correct answer is: The infant's butt is delivered first, with legs above head

A frank breech presentation is characterized specifically by the position of the fetus during delivery. In this type of presentation, the infant's buttocks present first, with both legs extended upward alongside the head (legs above the head). This position is quite distinct from other breech presentations, such as footling breech, where the infant may present foot first, or complete breech, where the legs are flexed with the buttocks presenting. In the context of the choices provided, recognizing that in a frank breech position, the key feature is the baby's buttocks leading the way while the legs are extended upwards confirms why this presentation is termed "frank." Understanding this terminology is crucial for appropriate management during labor and delivery, as breech presentations can carry specific risks and may require tailored approaches to ensure safe outcomes for both the mother and the infant.