Exam (elaborations)
NM704 EXAM 1 QUESTIONS AND ANSWERS 2024
- Course
- Institution
NM704 EXAM 1 QUESTIONS AND ANSWERS 2024
[Show more]
Content preview
NM704 EXAM 1What is the true pelvis vs the false pelvis?
-true pelvis is the clinically significant portion of the pelvis that the fetus must be
able to pass through and is much smaller than the perception of the false pelvis
What is the inlet? How does the fetus negotiate this during labor?
-upper entry into the true pelvis
-defined by sacral promontory around to the superior posterior pubis symphysis
-the fetus passes through this part of the pelvis with the biparietal diameter (the
largest transverse diameter of the fetal head) aligned with the long AP diameter
of the inlet
-asynclitism may present a smaller diameter--this is normal
What is the midplane? How does the fetus negotiate this during labor?
-the plane of least dimensions
-defined by S4 to ischial spines to the bottom of the symphysis pubis
-the fetus passes through this part of the pelvis by flexion to present the
suboccipitobregmatic diameter (smaller than BPD) & internal rotation to align the
AP diameter of the fetal head with the long AP diameter of the pelvis
What is the outlet? How does the fetus negotiate this during labor?
-defined by S5 to ischial tuberosities to the bottom of the symphysis pubis
,-the fetus passes through this part of the pelvis by extending the head in order to
negotiate the curve of carus
What is important to remember about the pelvic types?
-most women have a "mixture" of the different pelvic types
Gynecoid pelvis:
-inlet is rounded
-inlet transverse diameter is slightly longer than AP diameter
-outlet AP diameter is long
-inlet, mid-plane, and outlet diameters adequate
-prognosis for vaginal delivery is good
Android pelvis:
-inlet is heart-shaped
-inlet adequate
-mid-plane is reduced in both diameters
-outlet AP diameter is short and transverse diameter narrow
-prognosis for a vaginal delivery poor
Anthropoid pelvis:
-inlet is oval-shaped in the AP
-inlet AP diameter is long and transverse diameter short but adequate
-mid-plane AP diameter is long and transverse diameter adequate
-outlet AP diameter is long and transverse diameter adequate
, -prognosis for a vaginal delivery is good
Platypelloid pelvis:
-inlet is flat --transverse oval
-inlet AP diameter short and transverse diameter long
-mid-plane AP diameter short and transverse diameter wide
-outlet AP diameter short and inadequate and transverse diameter wide
-prognosis for a vaginal delivery is poor
What is fetal lie?
-relationship of the long axis of the fetus to the long axis of the mother
-longitudinal, transverse, oblique
What is fetal presentation?
-part of the fetus that presents first to maternal pelvis
-cephalic, shoulder, breech
What are the three things that impact the outcomes of home births?
-qualifications of birth attendants
-integration into maternity system for safe transfers
-appropriate criteria to determine eligibility
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Teacher101. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79064 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now