Class notes Nursing

E.MAKOKHA

,Lie, presentation, attitude, &position
FETAL LIE
The relation of the long axis of the fetus to that of the
mother
Longitudinal lie is found in 99% of labours at term

FETAL PRESENTATION
The presenting part is the portion of the body of the
fetus that is foremost in the birth canal
The presenting part can be felt through the Cx on
vaginal examination
Longitudinal lie  cephalic presentation
breech presentation

,Lie, presentation, attitude, &position
CEPHALIC PRESENTATION
Head is flexed sharply  vertex / occiput presentation
Head is extended sharply  face presentation
Partially flexed  bregma presenting (sinciput
presentation)
Partially extended  brow presentation


ATTITUDE
Posture of the fetus folded on itself to accommodate
the shape of the uterus
Flexed head, thighs, knees &feet
The arms crossed over the chest
Face presentation extended concave contour of the
vertebral column

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B
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D vertex )A( sinciput )B( brow )C( face )D(

Longitudinal lie. Cephalic presentation. Differences in attitude of fetal
body,
Note changes in fetal attitude in relation to fetal vertex as the fetal head
becomes less flexed.