NM704 MODULE 1 & 2 REVIEW| QUESTIONS WITH 100% CORRECT ANSWERS| LATEST
UPDATE 100% VERIFIED
What is important to remember about the pelvic types? -most women have a "mixture" of
the different pelvic types
Gynecoid pelvis: -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*
Android pelvis: -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*
Anthropoid pelvis: -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*
Platypelloid pelvis: -inlet is *flat* --transverse oval
-inlet AP diameter short and transverse diameter long
,-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? -relationship of the long axis of the fetus to the long axis of the mother
-longitudinal, transverse, oblique
What is fetal presentation? -part of the fetus that presents first to maternal pelvis
-cephalic, shoulder, breech
What is fetal attitude? -relationship of the fetal head to the fetal parts
-flexion, extension, military
What is fetal position? -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*)
What is fetal denominator? -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*
What are the different cephalic fetal presentations that is determined based upon fetal
attitude? -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*
, -face (chin/mentum)-->head *fully extended*
What is the natural attitude of the fetus? -partial flexion
How does the position and attitude effect the presenting fetal diameter? -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*
What is the first thing to do on vaginal exam in order to determine fetal position? -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)
What is the most common position of the fetus at onset of labor? -Left occiput transverse
(LOT)
How to determine a fetal posterior position using abdominal exam? -small parts palpable
almost everywhere with no distinctive or very posterior back
-depression in shape of a saucer at or just below umbilicus
What is synclitism? -AP diameter of the fetal head is in alignment with the transverse
diameter of the pelvic inlet
What is asynclitism? -"head to shoulder" position
-this happens normally in labor in order for the fetal head to take advantage of a smaller head
diameter when entering the pelvic inlet
-it can become problematic if it's persists as it can impede internal rotation
UPDATE 100% VERIFIED
What is important to remember about the pelvic types? -most women have a "mixture" of
the different pelvic types
Gynecoid pelvis: -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*
Android pelvis: -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*
Anthropoid pelvis: -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*
Platypelloid pelvis: -inlet is *flat* --transverse oval
-inlet AP diameter short and transverse diameter long
,-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? -relationship of the long axis of the fetus to the long axis of the mother
-longitudinal, transverse, oblique
What is fetal presentation? -part of the fetus that presents first to maternal pelvis
-cephalic, shoulder, breech
What is fetal attitude? -relationship of the fetal head to the fetal parts
-flexion, extension, military
What is fetal position? -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*)
What is fetal denominator? -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*
What are the different cephalic fetal presentations that is determined based upon fetal
attitude? -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*
, -face (chin/mentum)-->head *fully extended*
What is the natural attitude of the fetus? -partial flexion
How does the position and attitude effect the presenting fetal diameter? -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*
What is the first thing to do on vaginal exam in order to determine fetal position? -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)
What is the most common position of the fetus at onset of labor? -Left occiput transverse
(LOT)
How to determine a fetal posterior position using abdominal exam? -small parts palpable
almost everywhere with no distinctive or very posterior back
-depression in shape of a saucer at or just below umbilicus
What is synclitism? -AP diameter of the fetal head is in alignment with the transverse
diameter of the pelvic inlet
What is asynclitism? -"head to shoulder" position
-this happens normally in labor in order for the fetal head to take advantage of a smaller head
diameter when entering the pelvic inlet
-it can become problematic if it's persists as it can impede internal rotation
