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
Q

what is the OA position?

A

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
Q

what position should the babies head be in during delivery - extension or flexion?

A

extension