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NM704 Intrapartum > Test 1- Modules 1,2,3 > Flashcards

Test 1- Modules 1,2,3 Flashcards

1
Q

Attitude is the relation of the fetal parts to ______ __________; specifically the degree of ________ or _______ of the fetal _________.

A

each other; flexion or extension of the fetal head

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2
Q

__________ is the part of the fetus that lies over the pelvic inlet.

A

Presentation

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3
Q

List the three presentations:

A
  1. cephalic- head first
  2. breech - pelvis first
  3. shoulder
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4
Q

Presenting part is the most ___________ part of the fetus, or the part felt during a _________ _______.

A

dependent; vaginal exam

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5
Q

In a cephalic presentation, the presenting part could be ________, ___________, or __________.

A

vertex, brow, or face.

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6
Q

What is the occiput and where is it located?

A

Occipital bone; behind the posterior fontanelle (back of the fetal head)

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7
Q

What is the sinciput and where is it located?

A

The area between the anterior fontanelle and the orbital ridges (upper margin of eye sockets). This is the brow or front of the fetal head.

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8
Q

What is the vertex and where is it located?

A

The area between the posterior and anterior fontanelles. This is the top of the fetal head.

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9
Q

When the attitude is partially extended, the _________ is the presenting part.

A

brow

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10
Q

The __________attitude describes a fetal head and spine in a ____________ postition. It is neither ______ nor __________.

A

military; neutral.

flexed nor extended.

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11
Q

_____________ is when the fetal head is tilted toward the shoulder.

A

asynclitism

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12
Q

In anterior asynclitism, the anterior __________ bone descends first and the saggital suture is closest to the__________.

A

parietal; sacrum

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13
Q

In posterior asynclitism, the posterior __________ bone descends first and the saggital suture is closest to the__________.

A

parietal; symphisis pubis

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14
Q

If the fetal head is _____ and the fetal head is __________, the saggital suture is equidistance between the sacrum and ______ ________.

A

OT - occiput transverse

symphisis pubis

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15
Q

The presenting diameter is ___________ when the head is asynclitic.

A

smaller

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16
Q

Asyncliticism is not ____________, but can interfere with _________ _____________ if it remains through descent.

A

abnormal; internal rotation

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17
Q

_________________ is when the widest diameter of the presenting part is at or below the __________ ________.

A

Engagement; pelvic inlet

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18
Q

__________ is the relationship of the long axis of the fetus to the long axis of the mother.

A

Lie

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19
Q

Name the 3 types of lie:

A
  1. longitudinal
  2. transverse
  3. oblique
20
Q

True or False. Transverse Lie and Oblique Lie require collaboration with a consulting physician.

A

True

21
Q

___________, ___________, and ___________ presentations require collaboration with a physician for management.

A

Breech, brow, and face

22
Q

Fetal __________ is named using 3 letters in the following order (3):

A

Position

  1. L or R to represent the side of the maternal pelvis
  2. O (occiput), S (sacrum), or M (mentum) to represent the denominator
  3. A (anterior), T (transverse), or P (posterior) to represent where in the maternal pelvis the denominator lies
23
Q

Name the pelvic bones:

A

two innominate bones, the sacrum, and the coccyx

24
Q

Name the 3 parts of the innominate bones:

A

Pubis, ischium, and ilium

25
Q

The ______ is the posterior and upper portion of the innominate bone and joins with the sacrum.

A

ilium

26
Q

The ___________ is the medial and lower portion of the innominate bone.

A

ischium

27
Q

Important landmarks on the ischium include the _______ __________, the __________ ___________, and the _________ ____________.

A

ischial spine, ischial tuberosity, and pelvic sidewall

28
Q

The ______ is the anterior portion of the innominate bone.

A

pubis

29
Q

The two pubic bones join at the _________ _________.

A

symphisis pubis

30
Q

The inferior margin of the symphisis pubis and the descending rami create the __________ __________.

A

pubic arch

31
Q

The superior part of the sacrum is the ____________ ____________.

A

sacral promontory

32
Q

The __________ __________ is where the sacrum and coccyx join

A

sacrococcygeal symphisis

33
Q

Name the 4 joints of the pelvis

A

2 sacroiliac joints, symphisis pubis, and sacrococcygeal symphisis

34
Q

____________ causes the joints to __________ during pregnancy.

A

Relaxin; soften

35
Q

The __________ ligament attaches from the lateral margins of the sacrum and coccyx to the apex of the ischial spine.

A

sacrospinous

36
Q

The ____________ and _________ ligament attaches to the sacrum at leve S3 to S5 and extends to the inferior spine of the illium where it becomes the ischial tuberosity.

A

sacrotuberous

37
Q

The sacral promontory is at the level of ______

A

S1

38
Q

The _____________ is the primary portion of the levator ani muscle and acts a s a sling for the __________ and __________ ________.

A

pubococcygeus; vagina, vaginal sphincter

39
Q

The two ______________ muscles extend from the central tendinous point anteriorly to the corpus cavernosus of the clitoris laterally. Their contraction reduces the size of the _____________ __________ and contribute to ___________ ___________.

A

bulbocavernosus; vaginal orifice, clitoril erection

40
Q

The ____________ _______________ perineal muscles fix the locatin of the central tendinous point of the perineum.

A

superficial transverse

41
Q

The _________ _________ maintains the position of the pelvic organs.

A

levator ani

42
Q

The _________ __________ of the pelvis has the least room and is at the level of the _______ _________.

A

midplane; ischial spines

43
Q

The _________ pelvis occurs most frequently in women and all planes are usually adequate.

A

gynecoid

44
Q

The __________ pelvis is commonly known as the male pelvis. The inlet is ________ shaped and the prognosis for vaginal delivery is __________.

A

android; heart; poor

45
Q

The __________ pelvis is most common in ____________ ___________. The inlet is _________ with a larger __________ diameter that ________ diameter.
It is a __________ pelvis and prognosis is ____________.

A

anthropoid; non-white; oval; anteroposterior, transverse.

deep; good

46
Q

The _______________ pelvis is rare and there is often a delay at the ____________ __________.

A

platypelloid; pelvic inlet

NM704 Intrapartum (3 decks)

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