Management of CareQuestion 1127 of 2368
A client in labor has a fetal head that is hyperextended with the chin pointing toward the maternal back. Which birth plan should the nurse anticipate?
- Spontaneous vaginal birth with a longer second stage
- Cesarean birth
- Oxytocin augmentation until the head rotates
- An amniotomy to speed descent
Show answer
Correct answer: Cesarean birth
When the chin points toward the maternal back (mentum posterior), the head cannot pass through the pelvis.
Source: Nursing Health Promotion (Open RN, Chippewa Valley Technical College, 2025), Labor & Delivery Care: Fetal Dystocia. Licensed under CC BY 4.0.
Practice the topic "Management of Care"Questions last reviewed: 18 October 2026