Lesson 10: Self-Test

INSTRUCTIONS: Answer the following exercises by marking the lettered response that best answers the exercise, by completing the incomplete statement, or by writing the answer in the space(s) provided.

After you have completed all of these exercises, scroll to the bottom of this page and check your answers. For each exercise answered incorrectly, reread the material referenced with the solution.

1. List the three types of presentations.

______________________________.

______________________________.

______________________________.

2. ________ refers to the position of the spinal column of the fetus in relation to the spinal column of the mother.

3. List the four types of attitudes.

______________________________.

______________________________.

______________________________.

4. What areas should be looked at for flexion?

_____________, ________________, ________________, _______________.

5. The entrance of the presenting part of the fetus into the true pelvis or the largest diameter of the presenting part into the true pelvis is known as:

____________________.

6. The maternal pelvis is divided into ____________________.

7. Describe the following types of breech positions.

Complete or full breech- _____________________________________________

________________________________________________________________.

Frank and single breech – ____________________________________________

________________________________________________________________.

Incomplete breech -_________________________________________________.

________________________________________________________________.

8. List the seven adaptations or cardinal movements that the fetus makes while in the vertex position.

______________________________.

______________________________.

______________________________.

______________________________.

______________________________.

______________________________.

______________________________.

For exercises 9 through 16. The following phrases, terms, or definitions in Column A are closely related to the information listed in Column B. Place the letter of the correct answer i1n the spaces provided to the left of Column A.

COLUMN A

___ 9.  Abdominal palpation/ultrasound.

___10. Fetus head is partially flexed

or not flexed.

___11. Degree of flexion of the fetus

body parts to each other.

___12. Ischial spines.

___13. First letter of

position code.

___14. LOA and ROA position.

___15. “Lie” positions.

___16. Direction on the presenting part of fetus to the pelvis of the mother.

COLUMN B

a. Zero (0) station.

b. Longitudinal/ transverse.

c. Most common/easy delivery.

d. Military/moderate flexion.

e. Evaluation of presentation.

f. Position.

g. Attitude.

h. Side of the pelvis of the fetus reference point.


Lesson 10: Self-Test Answers

1. vertex or cephalic.

Breech.

Shoulder. (para 10-2b(1))

2. lie (para 10-2a).

3. complete flexion.

moderate flexion or military attitude.

poor flexion or marked extension.

hyperextended. (para 10-2c(1))

4. head.

Arches.

Thighs.

arms (para 10-2c(2)).

5. engagement (para 10-2e).

6. quadrants (para 10-2f(1)).

7. Complete or full breech–involves flexion of the legs. The fetus seems to be sitting in a tailor fashion.

Frank and single breech–the fetus thighs are

flexed on his abdomen, legs against his trunk, and feet are in his face.

Incomplete breech–fetus feet or knees will appear first. (para 10-2f(4)

8. descent.

flexion.

engagement.

internal rotation.

extension.

external rotation restitution.

expulsion. (para 10-3b)

9. e (para 10-2b(3)).

10. d (para 10-2c(1)(b)).

11. g (para 10-2c).

12. a (para 10-2d(4)).

13. h (para 10-2f(3)(a)1).

14. c (para 10-2f(5)(a)).

15. b (para 10-2a).

16. f (para 10-2f).

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