NM704 MODULE 1 & 2 REVIEW QUESTIONS 100%
Verified Questions & Answers
Q: What is important to remember about the pelvic types?
Answer:
-most women have a "mixture" of the different pelvic types
Q: Gynecoid pelvis:
Answer:
-inlet is *rounded* -inlet transverse diameter is slightly longer than AP diameter -outlet AP diameter is long -inlet,
mid-plane, and outlet diameters adequate -prognosis for vaginal delivery is *good*
Q: Android pelvis:
Answer:
-inlet is *heart-shaped* -inlet adequate -mid-plane is reduced in both diameters -outlet AP diameter is short and transverse
diameter narrow -prognosis for a vaginal delivery *poor*
Q: Anthropoid pelvis:
Answer:
-inlet is *oval-shaped* in the AP -inlet AP diameter is long and transverse diameter short but adequate -mid-plane AP
diameter is long and transverse diameter adequate -outlet AP diameter is long and transverse diameter adequate -prognosis
for a vaginal delivery is *good*
Q: Platypelloid pelvis:
Answer:
-inlet is *flat* --transverse oval -inlet AP diameter short and transverse diameter long
Q: -mid-plane AP diameter short and transverse diameter wide -outlet AP diameter short and inadequate and transverse
diameter wide -prognosis for a vaginal delivery is *poor* What is fetal lie?
Answer:
-relationship of the long axis of the fetus to the long axis of the mother -longitudinal, transverse, oblique
Q: What is fetal presentation?
Answer:
-part of the fetus that presents first to maternal pelvis -cephalic, shoulder, breech
Q: What is fetal attitude?
Answer:
-relationship of the fetal head to the fetal parts -flexion, extension, military
, Q: What is fetal position?
Answer:
-relationship of the fetal denominator to the front, back, or sides of maternal pelvis -Ex: ROA (the *occiput* is *anterior*
to the maternal pelvis and facing maternal *right*)
Q: What is fetal denominator?
Answer:
-the part of the fetal presenting part that presents to the pelvis first and is used to determine fetal position -cephalic is
*occiput* -breech is *sacrum* -face is *mentum*
Q: What are the different cephalic fetal presentations that is determined based upon fetal attitude?
Answer:
-vertex (occipital portion)-->head is fully *flexed* (chin to chest) -vertex (median part)-->head is *neither flexed nor
extended* (military) -brow (forehead)-->head *slightly extended*
Q: -face (chin/mentum)-->head *fully extended* What is the natural attitude of the fetus?
Answer:
-partial flexion
Q: How does the position and attitude effect the presenting fetal diameter?
Answer:
-occiput posterior presents a larger diameter -partial extended, partial flexed, neither flexed nor extended presents a larger
diameter -the best position and attitude is full flexion in the occiput anterior*
Q: What is the first thing to do on vaginal exam in order to determine fetal position?
Answer:
-find the sagittal suture line which runs directly between anterior and posterior fontanelles -using the suture line to find the
posterior fontanelle which will help determine position of the occiput (posterior, anterior, or transverse AND right or left)
Q: What is the most common position of the fetus at onset of labor?
Answer:
-Left occiput transverse (LOT)
Q: How to determine a fetal posterior position using abdominal exam?
Answer:
-small parts palpable almost everywhere with no distinctive or very posterior back -depression in shape of a saucer at or
just below umbilicus
Q: What is synclitism?
Answer:
-AP diameter of the fetal head is in alignment with the transverse diameter of the pelvic inlet
Verified Questions & Answers
Q: What is important to remember about the pelvic types?
Answer:
-most women have a "mixture" of the different pelvic types
Q: Gynecoid pelvis:
Answer:
-inlet is *rounded* -inlet transverse diameter is slightly longer than AP diameter -outlet AP diameter is long -inlet,
mid-plane, and outlet diameters adequate -prognosis for vaginal delivery is *good*
Q: Android pelvis:
Answer:
-inlet is *heart-shaped* -inlet adequate -mid-plane is reduced in both diameters -outlet AP diameter is short and transverse
diameter narrow -prognosis for a vaginal delivery *poor*
Q: Anthropoid pelvis:
Answer:
-inlet is *oval-shaped* in the AP -inlet AP diameter is long and transverse diameter short but adequate -mid-plane AP
diameter is long and transverse diameter adequate -outlet AP diameter is long and transverse diameter adequate -prognosis
for a vaginal delivery is *good*
Q: Platypelloid pelvis:
Answer:
-inlet is *flat* --transverse oval -inlet AP diameter short and transverse diameter long
Q: -mid-plane AP diameter short and transverse diameter wide -outlet AP diameter short and inadequate and transverse
diameter wide -prognosis for a vaginal delivery is *poor* What is fetal lie?
Answer:
-relationship of the long axis of the fetus to the long axis of the mother -longitudinal, transverse, oblique
Q: What is fetal presentation?
Answer:
-part of the fetus that presents first to maternal pelvis -cephalic, shoulder, breech
Q: What is fetal attitude?
Answer:
-relationship of the fetal head to the fetal parts -flexion, extension, military
, Q: What is fetal position?
Answer:
-relationship of the fetal denominator to the front, back, or sides of maternal pelvis -Ex: ROA (the *occiput* is *anterior*
to the maternal pelvis and facing maternal *right*)
Q: What is fetal denominator?
Answer:
-the part of the fetal presenting part that presents to the pelvis first and is used to determine fetal position -cephalic is
*occiput* -breech is *sacrum* -face is *mentum*
Q: What are the different cephalic fetal presentations that is determined based upon fetal attitude?
Answer:
-vertex (occipital portion)-->head is fully *flexed* (chin to chest) -vertex (median part)-->head is *neither flexed nor
extended* (military) -brow (forehead)-->head *slightly extended*
Q: -face (chin/mentum)-->head *fully extended* What is the natural attitude of the fetus?
Answer:
-partial flexion
Q: How does the position and attitude effect the presenting fetal diameter?
Answer:
-occiput posterior presents a larger diameter -partial extended, partial flexed, neither flexed nor extended presents a larger
diameter -the best position and attitude is full flexion in the occiput anterior*
Q: What is the first thing to do on vaginal exam in order to determine fetal position?
Answer:
-find the sagittal suture line which runs directly between anterior and posterior fontanelles -using the suture line to find the
posterior fontanelle which will help determine position of the occiput (posterior, anterior, or transverse AND right or left)
Q: What is the most common position of the fetus at onset of labor?
Answer:
-Left occiput transverse (LOT)
Q: How to determine a fetal posterior position using abdominal exam?
Answer:
-small parts palpable almost everywhere with no distinctive or very posterior back -depression in shape of a saucer at or
just below umbilicus
Q: What is synclitism?
Answer:
-AP diameter of the fetal head is in alignment with the transverse diameter of the pelvic inlet
