Test 1- Modules 1,2,3

Question 1

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

Answer 1

each other; flexion or extension of the fetal head

Question 2

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

Answer 2

Presentation

Question 3

List the three presentations:

Answer 3

1. cephalic- head first
2. breech - pelvis first
3. shoulder

Question 4

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

Answer 4

dependent; vaginal exam

Question 5

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

Answer 5

vertex, brow, or face.

Question 6

What is the occiput and where is it located?

Answer 6

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

Question 7

What is the sinciput and where is it located?

Answer 7

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.

Question 8

What is the vertex and where is it located?

Answer 8

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

Question 9

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

Answer 9

brow

Question 10

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

Answer 10

military; neutral.

flexed nor extended.

Question 11

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

Answer 11

asynclitism

Question 12

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

Answer 12

parietal; sacrum

Question 13

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

Answer 13

parietal; symphisis pubis

Question 14

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

Answer 14

OT - occiput transverse

symphisis pubis

Question 15

The presenting diameter is ___________ when the head is asynclitic.

Answer 15

smaller

Question 16

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

Answer 16

abnormal; internal rotation

Question 17

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

Answer 17

Engagement; pelvic inlet

Question 18

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

Answer 18

Lie

Question 19

Name the 3 types of lie:

Answer 19

1. longitudinal
2. transverse
3. oblique

Question 20

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

Answer 20

True

Question 21

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

Answer 21

Breech, brow, and face

Question 22

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

Answer 22

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

Question 23

Name the pelvic bones:

Answer 23

two innominate bones, the sacrum, and the coccyx

Question 24

Name the 3 parts of the innominate bones:

Answer 24

Pubis, ischium, and ilium

Question 25

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

Answer 25

ilium

Question 26

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

Answer 26

ischium

Question 27

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

Answer 27

ischial spine, ischial tuberosity, and pelvic sidewall

Question 28

The ______ is the anterior portion of the innominate bone.

Answer 28

pubis

Question 29

The two pubic bones join at the _________ _________.

Answer 29

symphisis pubis

Question 30

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

Answer 30

pubic arch

Question 31

The superior part of the sacrum is the ____________ ____________.

Answer 31

sacral promontory

Question 32

The __________ __________ is where the sacrum and coccyx join

Answer 32

sacrococcygeal symphisis

Question 33

Name the 4 joints of the pelvis

Answer 33

2 sacroiliac joints, symphisis pubis, and sacrococcygeal symphisis

Question 34

____________ causes the joints to __________ during pregnancy.

Answer 34

Relaxin; soften

Question 35

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

Answer 35

sacrospinous

Question 36

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.

Answer 36

sacrotuberous

Question 37

The sacral promontory is at the level of ______

Answer 37

S1

Question 38

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

Answer 38

pubococcygeus; vagina, vaginal sphincter

Question 39

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 ___________ ___________.

Answer 39

bulbocavernosus; vaginal orifice, clitoril erection

Question 40

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

Answer 40

superficial transverse

Question 41

The _________ _________ maintains the position of the pelvic organs.

Answer 41

levator ani

Question 42

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

Answer 42

midplane; ischial spines

Question 43

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

Answer 43

gynecoid

Question 44

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

Answer 44

android; heart; poor

Question 45

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

Answer 45

anthropoid; non-white; oval; anteroposterior, transverse. | deep; good

Question 46

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

Answer 46

platypelloid; pelvic inlet