fetal lie position and presentation

Question 1

abdominal palpation is done ..

Answer 1

• Fetal growth and wellbeing
  To identify maternal and fetal relationship by determining the lie , attitude , presentation , denominator , position and engagement.

Question 2

according to nice guidelines when should syphysis fundal height be done

Answer 2

According to nice guidelines symphysis fundal height measurement at each antenatal appointment at 24+0 weeks

Question 3

lie

Answer 3

• The relationship of the long axis of the fetus to the long axis of the uterus
  May be longitudinal , oblique or transverse

Question 4

attitude

Answer 4

• this is the relationship of the fetal head and limbs to its body
  
  • May be fully flexed , deflexed , partially or fully extended
  • When fully flexed the head and spine are flexed , arms crossed over the chest , legs and thighs flexed
    In this attitude the fetus forms a compact ovoid , fitting in the uterus comfortable but allowing freedom of movement .

Question 5

presentation

Answer 5

*This is part of the uterus lying in the lower pole of the uterus
Possible presentations are cephalic , breech , face , brow , shoulder

Question 6

denominator

Answer 6

Part of the presentation that is used to indicate the position

Question 7

position

Answer 7

the relationship of the denominator to eight areas of the maternal pelvis
Left , right and direct anterior , left and right transverse , left and right direct posterior

Question 8

engagement

Answer 8

This occurs when the transverse diameter of the fetal head passes through the brim of the pelvis - this is normally measured in fifths - in direct relation to the ischial spines.

Question 9

three ways to palpate

Answer 9

look , touch and listen

Question 10

equipment

Answer 10

tape measure , pinnard measurement

Question 11

fundal palpation

Answer 11

use two hands to determine the top of the fundus

Question 12

lateral palpation

Answer 12

back and limbs

Question 13

pubic palpation

Answer 13

determines presentation and lie of fetus , help to determine engagement

Question 14

engagement of fetal head is measured in

Answer 14

fifths