birth canal and fetal skull Flashcards

1
Q

false pelvis

A

P: lumbar
L: iliac fossa
A: abdominal wall

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2
Q

true pelvis

A

P: pelvic outlet
A: promontory, alae, linea terminalis, pubic bones

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3
Q

shortest diameter of true pelvis

A

ischial spines

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4
Q

pelvic inlet

A

P: promontory & sacrum
L; linea terminalis
A: pubic symphysis

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5
Q

AP diameter

A

widest diameter
true conjugate (upper symphysis)
11cm

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6
Q

inlet transverse diameter

A

13cm

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7
Q

inlet oblique diameter

A

<13cm

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8
Q

inlet obstetric conjugate

A

10.5cm

point of most bulging back of symphysis

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9
Q

diagonal conjugate

A

12cm

lower edge of symphysis

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10
Q

midpelvis

A
ischial spine (st 0)
AP diameter of 11.5cm
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11
Q

pelvic outlet

A

A: pubic arch
L: ischiopubic arm, ischial tuberosity, sacrotuberous ligament
P: coccyx tip

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12
Q

bituberous diameter

A

11cm

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13
Q

outlet AP diameter

A

9.5-11.5cm

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14
Q

outlet posterior sagittal diameter

A

> 7cm

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15
Q

outlet transverse diameter

A

11cm

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16
Q

caldwell-molloy classification: type of pelvis

A

posterior segment

17
Q

caldwell-molloy classification: tendency

A

anterior segment

18
Q
round;
AP equal & spacious;
well curved (90) sacrum, backwards;
wide & shallow sacrosciatic notch;
divergent sidewalls;
curved pubic arch:
wide subpubic angle
N bituberous angle
A

gynecoid

19
Q
AP oval;
AP inc. w/ A narrowing;
long & narrow (90) sacrum, posterior;
more wide & shallow sacrosciatic notch;
divergent sidewalls;
long & curved pubic arch:
slightly narrow subpubic angle
N/short bituberous angle
A

anthropoid

20
Q
triangular;
P short w/ A narrowing;
straught (<90) sacrum, forward;
narrow & deep sacrosciatic notch;
convergent sidewalls;
long & straight pubic arch:
narrow subpubic angle
short bituberous angle
A

android

21
Q
transverse oval;
AP reduced & flat;
(>90) sacrum, posterior;
slightly narrow & small sacrosciatic notch;
divergent sidewalls;
short & curved pubic arch:
very wide subpubic angle
wide bituberous angle
A

platypelloid

22
Q

anterior fontanel

A

bregma

23
Q

posterior fontanel

A

lambda

24
Q

biparietal diameter

A

9.5cm

25
Q

supra-occipitomental diameter

A

13.5cm

26
Q

submentobregmatic diameter

A

9.5cm

27
Q

sub-occipitobregmatic diameter

A

9.5cm

28
Q

occipitofrontal diameter

A

11cm

29
Q

min. req. of interspinous diameter?

A

> 10cm

30
Q
presenting part?
vertex
sinciput
brow
face
A

vertex - sub-occipitobregmatic
sinciput - sub-occipitofrontal
brow - sub-occipitomental
face - submentobregmatic

31
Q

most common fetal head position

A

OA / OT

32
Q

assess adequacy of pelvis for vaginal delivery?

A

trial of labor