Question

11. The part of the fetus body which has the widest diameter:
A. Abdomen
B. Legs
C. Head
D. All of the above

12. Immediately, before expulsion, which of the following cardinal movement occur?
A. Descent
B. Flexion
C. Extension
D. External rotation

13. This refers to the relationship between the long axis of the fetal body and the long axis of the woman’s body.
A. Fetal attitude
B. Fetal lie
C. Longitudinal lie
D. Transverse lie

14. The hips are flexed but the knees are extended to rest on the chest. The buttocks alone present to the cervix. This statement describes:
A. Complete breech
B. Frank breech
C. Single footling breech
D. Double footling breech

15. During pelvic examination, a diamond shaped of the fontanelle has been palpated. The fontanelle palpated is the:
A. Anterior fontanelle
B. Posterior fontanelle
C. Anteroposterior fontanelle
D. Occiput fontanelle

16. The triangular shaped fontanelle usually closes when the infant is:
A. 2 months of age
B. 6 months of age
C. 12 months of age
D. 1 year and 6 months

17. When describing fetal position, the first letter of the series denotes which of the following?
A. Presenting part of the fetus
B. Side of the maternal pelvis
C. Size of the maternal pelvis
D. Type of fetal delivery

18. The labor and delivery nurse performs Leopold’s maneuvers. A soft round mass is
felt in the fundal region. A flat object is noted on the left and small objects are
noted on the right of the uterus. A hard round mass is noted above the symphysis.
Which of the following positions is consistent with these findings?
A. Left occipital anterior (LOA)
B. Left sacral posterior (LSP)
C. Right mentum anterior (RMA)
D. Right sacral posterior (RSP)

19. The fetus assumes this position during labor: the spinal column is bowed forward, the head is flexed forward that the chin touches the sternum, the arms are flexed and folded on the chest, the thigh are flexed onto the abdomen and the calves are pressed against the posterior aspect of the thigh. This indicates that:
A. The fetus has good flexion.
B. The fetus has moderate flexion.
C. The fetus is in partial extension.
D. The fetus is in complete extension.

20. While performing Leopold’s maneuvers on a woman in labor, the nurse palpates a hard round mass in the fundal area, a flat surface on the left side, small objects on the right side, and a soft round mass just above the symphysis. Which of the following is a reasonable conclusion by the nurse?5
A. The fetal position is transverse.
B. The fetal presentation is vertex.
C. The fetal lie is vertical.
D. The fetal attitude is flexed.

Answer 1

Answers

11. Head

Head has the widest diameter. In that mentovertical diameter is largest diameter. It is 13cm.

12. External rotation

All other movements occur before external rotation.

13. Fetal lie

Atttitude is relationship between different fetal parts. Lie is the relationship between fetal parts to maternal spine. There are three types consists of longitudinal lie, transverse lie and oblique lie.

14. Frank breech

A frank breech is the most common breech presentation, in that hip is flexed and knees are extended.

15. Anterior fontanelle

Anterior fontanelle is a diamond-shaped fontanelle. It closes at 18 months after birth. It is at the junction of the coronal suture and sagittal suture.

16. 2 months of age

Triangular shaped fontanelle is posterior fontanelle. It closes at one and half months.

17. Side of the maternal pelvis

In fetal position first letter represents left side, middle letter represents presenting part and last letter denotes anterior or posterior.

18. Left occipital anterior (LOA)

Hard round mass represents fetal head. It is above the symphysis. Hence it is evident that LOA.

19. The fetus has good flexion

All extremities are completely flexed. Hence the fetus has good flexion.

20. The fetal lie is vertical.

Here it is evident that fetal head is in the pelvic brim and buttocks is in the fundal area. Hence it is vertical lie.