Fetal skull Flashcards
List the three components of the fetal skull
The face
The base
The vault
Which two skull components interstate?
The face
The base
Which parts of the skull are not part of the moulding process of labour?
The face and base
Because they are unable to reduce at all
Where is the vault?
The area of the skull from the orbital ridges to the snow of the neck
Which bones does the vault include?
The occiput, the vertex, the brow
The brow is also referred to as?
The sinciput
In cephalic presentation which the the presenting part?
The vertex
What is the denominator of the vertex presentation?
The occiput
Draw and label a skull
Face (bottom of chin starts)- brow brow starts)- vertex (anterior fontanelle starts)- occiput (posterior fontanelle starts) Temporal bone Parietal bones Frontal bone Occipital bone Coronal suture Saggital suture Squamous suture Lambdoid suture Anterior fontanelle Posterior fontanelle
Frontal suture
Goes from anterior fontanelle to nose
What are sutures?
Soft fibrous tissues linking skull bones
What features of the skull enable moulding to take place?
The sutures
What is a fontanelle?
A membranous, non ossified area of the skull where three or more sutures meet
Anterior fontanelle is also known as?
Bregma
Suboccipitofrontal (SOF) diameter
10cm
Suboccipitofrontal (SOF) delivery?
Deflexed head- breech
Suboccipitofrontal (SOF) Location?
Occiput centre to frontal suture centre
Submentobregmatic (SMB) delivery?
Face presentation - face fully extended
Submentobregmatic (SMB) location
Occiput to anterior fontanelle
Submentovertical (SMV) delivery?
Face presentation
Head not fully extended
Submentovertical (SMV) location?
Chin to highest point of vertex
Submentobregmatic (SMB) diameter
9.5cm
Mentovertical (MV) delivery?
Brow presentation
Mentovertical (MV) location?
Chin to centre of vertex
Suboccipitobregmatic (SOB) delivery?
Normal vertex presentation
Suboccipitobregmatic (SOB) location?
Occiput to anterior fontanelle
Occipitofrontal (OF) delivery?
Persistent occiput posterior position
Occipitofrontal (OF) location?
Bridge of nose to occiput
Moulding
Overlapping of fetal skull bones by sutures to allow head to move through pelvis and canal
Frontal lobe
Area of the brain the the region of the frontal bone
Parietal lobe
Region of the brain around the parietal bones
Temporal lobe
Region of the brain around the temporal bone
Occipital lobe
Region of the brain below the occipital bone
Cerebellum location and purpose
Region of the brain below the occipital lobe
Receives and processes sensory information from the spinal cord and regulates movement and coordination
Medulla oblongata purpose
Controls respiration and circulation. It is part of the autonomic (involuntary) nervous system
Frontal lobe purpose
Cognition and emotion
Parietal lobe purpose
Primary motor cortex
Occipital lobe purpose
Visual cortex
Temporal lobe purpose
Processing sensory input
What are the five layers of scalp tissue?
Skin Subcutaneous tissue (fat and blood vessels) Gales aponeurotica- muscle layer Loose connective tissue Periosteum
What are meninges
Protective membranes of the brain
What are the three brain meninges?
Dura mater (directly inside skull) Arachnoid mater (wispy layer with web-like extensions) Pia mater (in direct contact with brain)
Spaces between meninges
Sub- dural space
Sub- arachnoid space
2 cerebral membranes
Flax cerebri- vertical fold of dura mater. Nose to occiput. Between the two hemispheres of the brain
Tentorium cerebelli- fold that separates cerebrum from cerebellum
The cerebrum
Contains four lobes (frontal, temporal, parietal, occipital)
Haematoma
Solid swelling of clotted blood in the head injury from birth
What is the site for ossification in the skull?
Parietaleminance
Submentovertical (SMV) diameter?
11cm
Mentovertical (MV) diameter
13.5cm
Suboccipitobregmatic (SOB) diameter?
9.5cm
Occupitofrontal (OF) Diameter?
11.5cm
Caput succedaneum
Injury to head from caput
Crosses the suture line and is superficial and goes away quickly
Ceohalhaematoma
Does not cross sutures
Between periosteum and skull bone, takes a while to go
Correct name for chin on fetal skull
Mentum
6 layers is fetal skull
Skin Periosteum Bone Dura mater Arachnoid Pia mater