Normal Labour Definitions and Management
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Questions and Answers

What is the definition of engagement in the context of normal labor?

  • The level of the fetus above or below the plane of the ischial spines
  • The part of the fetus that occupies the lower segment or pelvis
  • When the widest diameter of the fetal presenting part has passed through the pelvic inlet (correct)
  • The relation between the longitudinal axis of the fetus and the longitudinal axis of the mother's uterus

    • What is assessed when determining station in the context of normal labor?

  • The relation between the longitudinal axis of the fetus and the longitudinal axis of the mother's uterus
  • The part of the fetus that occupies the lower segment or pelvis
  • The level of the fetus above or below the plane of the ischial spines (correct)
  • The widest diameter of the fetal presenting part passing through the pelvic inlet

    • What is assessed abdominally to determine engagement in normal labor?

  • The level of the fetus above or below the plane of the ischial spines
  • The widest diameter of the fetal presenting part passing through the pelvic inlet (correct)
  • The relation between the longitudinal axis of the fetus and the longitudinal axis of the mother's uterus
  • The lowest part of the fetus palpable on vaginal examination

    • What is the presenting part in a cephalic presentation during normal labor?

    <p>The vertex, the brow, or the face depending on the attitude (B)</p> Signup and view all the answers

    What is meant by 'lie' in the context of normal labor?

    <p>The relation between the longitudinal axis of the fetus and the longitudinal axis of the mother's uterus (B)</p> Signup and view all the answers

    What describes the degree of flexion in a cephalic presentation during normal labor?

    <p>The vertex, brow, or face depending on the attitude (B)</p> Signup and view all the answers

    In a vertex presentation, what is the bony landmark on the presenting part used to denote the position?

    <p>Occiput (A)</p> Signup and view all the answers

    Which pelvic type, based on Caldwell-Malloy classification, has the largest transverse diameter at the inlet?

    <p>Gynecoid pelvis (B)</p> Signup and view all the answers

    Which fetal part enters the birth canal when the fetal head is well flexed in a vertex presentation?

    <p>Occiput (C)</p> Signup and view all the answers

    What is the most important maternal pelvic joint for the descent of the fetal head during labor?

    <p>Symphysis pubis (B)</p> Signup and view all the answers

    What process involves painful uterine contractions followed by dilatation and effacement of the cervix?

    <p>Labour (D)</p> Signup and view all the answers

    At what gestation period is a delivery considered to be within reasonable time?

    <p>38-40 weeks (D)</p> Signup and view all the answers

    Which pelvic shape has an increased risk of obstructed labour due to its wider transverse diameter at the inlet?

    <p>Platypelloid pelvis (A)</p> Signup and view all the answers

    What is measured in centimeters to indicate the dilatation and stretching of the cervix during labour?

    <p>Cervical dilatation (C)</p> Signup and view all the answers

    What percentage of women have an anthropoid pelvis, in which the fetal head engages in the anteroposterior diameter of the pelvis?

    <p>20% (A)</p> Signup and view all the answers

    What is measured in centimeters to indicate the normal softening, thinning, and shortening of the cervix during labour?

    <p>Cervical effacement (A)</p> Signup and view all the answers

    What is assessed abdominally to determine engagement in normal labor?

    <p>Fetal lie (A)</p> Signup and view all the answers

    In a vertex presentation, what is the lowest part of the fetus palpable on vaginal examination known as?

    <p>Presenting part (B)</p> Signup and view all the answers

    What pelvic shape has an increased risk of obstructed labor due to its wider transverse diameter at the inlet?

    <p>Anthropoid pelvis (C)</p> Signup and view all the answers

    Which part of the fetus occupies the lower segment or pelvis in a cephalic presentation during normal labor?

    <p>Presentation (B)</p> Signup and view all the answers

    What is the most important maternal pelvic joint for the descent of the fetal head during labor?

    <p>Symphysis pubis (B)</p> Signup and view all the answers

    What process involves assessing the level of the denominator of the presenting part above or below the plane of the ischial spines in normal labor?

    <p>Station assessment (C)</p> Signup and view all the answers

    What is the denominator used to denote the position in a breech presentation?

    <p>Sacrum (D)</p> Signup and view all the answers

    Which area of the fetal skull is located between the fontanelles and bounded laterally by parietal eminences?

    <p>Vertex (D)</p> Signup and view all the answers

    What is the root of the nose called in fetal skull anatomy?

    <p>Nasion (C)</p> Signup and view all the answers

    Which pelvic type, based on Caldwell-Malloy classification, is characterized by oval-shaped inlet with wide transverse diameter and an increased risk of obstructed labour?

    <p>Platypelloid (D)</p> Signup and view all the answers

    Which pelvic shape has well-curved sacrum and straight side walls, making it most favourable for delivery?

    <p>Gynecoid pelvis (C)</p> Signup and view all the answers

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