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FetoPelvicRelationships

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
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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