Conduct of Normal Labor and Delivery

Question 1

2 Poles

Answer 1

Cephalic, Podalic

Question 2

Most dependent part of the fetus

Answer 2

Fetal Presentation

Question 3

Cephalic presentation subtypes and their corresponding presenting parts/AP diameters

Answer 3

1) Vertex/Occiput - SOB (9.5 cm)
2) Military/Sinciput - OF (11-12 cm)
3) Brow - VM/OM (13.5 cm)
4) Face - SMB (9.5 com)

Question 4

Breech presentation subtypes and their corresponding presenting parts/AP diameters

Answer 4

1) Frank - Sacrum
2) Complete - Sacrum
3) Incomplete - Sacrum, Foot

Question 5

Shoulder presentation subtypes and their corresponding presenting parts/AP diameters

Answer 5

1 only:

Shoulder/Acromion, Arm, Trunk

Question 6

Characteristic posture assumed by the fetus in utero

Answer 6

Fetal Attitude

Question 7

Abnormal fetal attitude

Answer 7

From vertex to face (progressive change); vertebral column becomes concave from convex

Question 8

Relation of a given portion of the presenting part to the ant., post., or transverse portion of the maternal pelvis

Answer 8

Fetal Variety

Question 9

When is a vaginal examination an acceptable procedure for diagnosing fetal presentation and position?

Answer 9

At the onset of labor and cervical dilatation

Question 10

When is a UTZ NOT anymore a reliable procedure for diagnosing fetal presentation and position?

Answer 10

At the onset of labor and cervical dilatation, when fetus is engaged

Question 11

Four Movements of Vaginal Examination (in order!)

Answer 11

1) I.D. presenting part
2) Sagittal Suture Tracing
3) I.D. fontanelle position
4) Station

Question 12

When is a UTZ an acceptable procedure for diagnosing fetal presentation and position?

Answer 12

If the patient is obese or has thick/rigid abdominal walls

Question 13

Cardinal Movements of Labor (in order!)

Answer 13

Engagement < Descent < Flexion < Internal Rotation < Extension < Expulsion

Question 14

Another term for “lateral flexion”

Answer 14

Asynclitism

Question 15

Naegele’s Asynclitism

Answer 15

Anterior- Sagittal suture approaches promontory

Question 16

Litzmann’s Asynclitism

Answer 16

Posterior - Sagittal suture approaches symphysis (Ear presentation)

Question 17

Fetal Cephalic AP diameter conversion during Flexion

Answer 17

OF to SOB

Question 18

Force acting posteriorly during Extension

Answer 18

Exerted by the uterus

Question 19

Force acting anteriorly during Extension

Answer 19

Resistance by pelvic floor and symphysis

Question 20

True or False: Ext. Rotation/Restitution returns fetal position to what it was when it started

Answer 20

True. If you start LOA, you end in LOA