Anatomy - Bony Pelvis Flashcards

1
Q

what is the bony pelvis made of?

A

two hip bones
sacrum
coccyx

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2
Q

what does a hip bone consist of?

A

ilium
ischium
pubis

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3
Q

what forms the outline of the pelvic inlet?

A

sacral promontory
ilium
superior pubic ramus

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4
Q

what forms the outline of the pelvic outlet?

A
pubic symphysis 
ischiopubic rams 
ischial tuberosities 
sacrotuberous ligaments 
coccyx
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5
Q

where is the pelvic cavity located?

A

within the bony pelvis

in between the pelvic inlet and the pelvic floor

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6
Q

where does the inguinal ligament attach?

A

between the ASIS and the pubic tubercle

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7
Q

when are the ischial spines palpable?

A

on vaginal examination

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8
Q

what are the two main ligaments of the pelvis?

A

sacrospinous

sacrotuberous

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9
Q

where does the sacrospinous ligament attach?

A

between the sacrum and the ischial spine

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10
Q

where does the sacrotuberous ligament attach?

A

between the sacrum and the ischial tuberosity

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11
Q

what is the main function of the ligaments of the pelvis?

A

protect against sudden weight transfer

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12
Q

what happens to the ligaments of the pelvis during pregnancy?

A

they relax

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13
Q

what do the sacrospinous and sacrotuberous ligaments in the pelvis form?

A

the greater and lesser sciatic foramina

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14
Q

describe the differences between a male and female pelvis

A

overall a females pelvis is larger, wider and shallower than a males

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15
Q

what is moulding and when does this occur?

A

movement of bones over each other in the foetal skull to allow the head to pass through the pelvis during labour

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16
Q

what allows moulding of the foetal skull to occur?

A

the anterior and posterior fontanelles

17
Q

where is the vertex located?

A

between the anterior and posterior fontanelles and the parietal eminences in the foetal skull

18
Q

which diameter of the foetal skull is longer - occipitofrontal (back to front) or biparietal (left to right)?

A

occipitofrontal

19
Q

what direction should the foetuses head be facing when entering the pelvic cavity and why?

A

either to the right or left (transverse)

the transverse diameter of the pelvis is wider than the AP diameter

20
Q

what Is the station of a foetal head?

A

the distance of the foetal head from the ischial spines

21
Q

what does it mean if the station is a negative number?

A

foetal head is superior to the ischial spines

22
Q

what does it mean if the station is a positive number?

A

the foetal head is inferior to the ischial spines

23
Q

what should happen to the foetal head as it passes through the pelvic cavity?

A

should rotate

be in a flexed position (chin to chest)

24
Q

what position should the babies head be in as it exits the pelvic cavity and why?

A

occipitoanterior (OA) position

AP diameter is wider than transverse diameter at the pelvic outlet

25
what is the OA position?
the occipital bone at the back of the babies head is at the anterior surface of the mother essentially face down and head first
26
what position should the babies head be in during delivery - extension or flexion?
extension