FetoPelvicRelationships
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show | upper border of the true pelvis
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show | >= to 11 cm
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show | lowe border of the true pelvis
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show | viewed from below is ovoid/somewhat diamond shaped/bound by pubic arch anteriorly, ischial tuberosity laterally and tip of coccyx posteriorly. Latter part of pregnancy coccyx is movable
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show | >= to 8 cm
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linea terminalis | show 🗑
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show | support the weight of enlarged uterus and direct presenting fetal part into the true pelvis below
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show | curved passage with a short anterior wall and a much longer concave posterior wall (made up of true and false pelvis)
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show | portion above the pelvic brim bounded by the lumbar vertebrae posteriorly, the iliac fossae laterally, and the lower abdominal wall anteriorly.
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true pelvis | show 🗑
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anterior diameter | show 🗑
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posterior diameter | show 🗑
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show | heart shaped, angulated heart
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depth of android pelvis | show 🗑
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side walls of android pelvis | show 🗑
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ischial spines of android pelvis | show 🗑
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show | slightly curved terminal portion often beaked
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subpubic arch android pelvis | show 🗑
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usual mode of birth android pelvis | show 🗑
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gynecoid pelvis brim | show 🗑
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show | moderate
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side walls of gynecoid | show 🗑
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ischial spines of gynecoid | show 🗑
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show | deep, curved
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subpubic arch gynecoid | show 🗑
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mode of birth gynecoid | show 🗑
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show | when presenting part is above or below the spines, it is expressed in terms of how far in cm. Ex: when presenting part is 1 cm above the spines, the station is ntoed as being minus 1. Level of spines (O), below (+1). Birth is imminent when statio
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show | when station is presenting at +4 or +5
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Diagonal conjugate | show 🗑
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how can diagonal conjugate may be obtained? | show 🗑
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show | 12.5 to 13
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show | True conjugate. Radiographic measurement of distance from upper margin of symphysis pubis (SP) to sacral promontory
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diameter of conjugate vera | show 🗑
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show | the shortest diameter of the pelvic cavity located between the spines
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inter-tuberous diameter | show 🗑
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pelvimetry | show 🗑
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show | composed of two parietal bones, two temporal bones, the frontal bone, and the occipital bone
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show | these bones are united by membranous sutures
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what are the sutures? | show 🗑
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where is the sagital suture? | show 🗑
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where is the lambdoid suture? | show 🗑
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where is the coronal suture? | show 🗑
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show | in the frontal bone
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show | intersections of the cranial sutrues allowing for moldign of the fetal head and help the clinican id the position of the fetal head during vag exam
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Occiput | show 🗑
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occipitobregmatic diameter | show 🗑
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show | largest diameter of the head/it extends from mentum (lower jaw) to the occiput
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show | largest transverse diameter of the head
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biparietal diameter extends from | show 🗑
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show | the smallest diameter of the head
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suboccipitobregmatic diameter extends from | show 🗑
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show | relationship of the cephalocaudal axis (spinal column) of the fetus to the cephalocaudal axis of the woman
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what are the types of lies | show 🗑
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show | the fetus's cephalocaudal axis is parallel w/ mother's spine
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show | cephalocaudal axis of the baby is at right angle w/ mother's spine
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w/ which of the lies birth cannot occur vaginally | show 🗑
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show | relation of the fetal parts to one another
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show | head fleed forward w/ the chin almost resting on the chest/arms and legs flexed
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show | determined by the fetal lie and by the body part of the fetus that enters the maternal pelvis
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show | the portion of the fetus that enters the maternal pelvis first
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what are the three presentations | show 🗑
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what is the most common presentation? | show 🗑
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show | vertex, military, brow, face,
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show | most common type, fetal head completely flexed on chest, smallest diameter of the fetal head presents ot the maternal pelvis
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what is the presenting part in a vertex presentation? | show 🗑
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what is the military presentation? | show 🗑
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show | suboccipito bregmatic
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what kind of diameter presents in military presentation? | show 🗑
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what is the presenting part in the vertex presentation? | show 🗑
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show | top of the head
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what is the presentation in brow presentation? | show 🗑
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that is the diameter presented in brown presentation? | show 🗑
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what is the presenting part of the face presentation? | show 🗑
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what is the diameter presenting in the face presentation? | show 🗑
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what is the presenting part of the fetus presenting in the face presentation? | show 🗑
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what are the three notations used to describe the fetal position? | show 🗑
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what is the O of the presenting part | show 🗑
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show | Mentum
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show | sacrum
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what is the A | show 🗑
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show | sinciput
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what is Sc? | show 🗑
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obstretical conjugate is ... | show 🗑
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show | relationship of the presenting part to an imaginary line drawn between the ischial spines of the maternal pelvis
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show | a negative number noted in cm above zero station
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where is station -5? | show 🗑
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show | at the outlet
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show | the relationship of the landmark on the presenting fetal part ot the anterior, posterior sides (left or right) of the maternal pelvis
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what does ballotment means? | show 🗑
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how is it done? | show 🗑
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show | objective
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lightening | show 🗑
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show | usually occurs 2 wks before the onset of labor in a nullipara
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show | first stage of labor from a cervial dilation of 8 cm to 10 cm
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what is the first stage of labor? | show 🗑
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what are its phases? | show 🗑
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show | there is more effacement of the cervix and little descent
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show | 8.6 hr in a nullipara, 5.3 hrs in a multipara
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what is the cervical dilation during latent phase? | show 🗑
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show | 3 to 30 minutes
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how long do they last? | show 🗑
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what is their intensity? | show 🗑
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show | 4.6 hr in a nullipara, 2.4 hrs in a multipara
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what is the cervical dilation in the active phase? | show 🗑
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how frequent are the contractions during active phase? | show 🗑
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show | every 40 to 60 seconds
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show | begin as moderate nd progress to strong; 50 to 70 mmHg by IUPC
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show | 3.6 ht in a nulipara, varies in multi
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show | 8 to 10 cm
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show | every 1 to 1/2 minutes
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show | 1 to 1/2 minute
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show | strong by palpation, 70 to 90 mm Hg by IUPC
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show | it lasts from the time the cervix is fully dilated to the birth of the fetus
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how long does it last (2nd stg)? | show 🗑
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show | every 1 1/2 to 2 min
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show | 1 to 1/2 minute
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show | 70 to 100mmHg by IUPC/strong by palpation
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show | pressure exerted by the amniotic fluid, direct pressure exerted by the contracting fundus on the fetus, forces of the contraction of the maternal diaphragm and abdominal muscles in the 2nd stage of labor
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what is the third stage of labor? | show 🗑
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what is the forth stage of labor? | show 🗑
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what happens during the forth stage? | show 🗑
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show | engagement of the presenting part occurs when the largest diameter of the presenting part reaches or passess thorugh the pelvic inlet
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complete effacement means... | show 🗑
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complete dilation means... | show 🗑
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what is crowning? | show 🗑
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show | engagement and descent, flexion, internal rotation, extension, external rotation and restitution, external rotation and expulsion
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what happens during flexion? | show 🗑
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during internal rotation? | show 🗑
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how is the direction of internal rotation | show 🗑
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show | the resistance of the pelvic floor assists w/ the extension of the fetal head as it passes under the symphysis pubis
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show |
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