Page 242 - Critical Maternity & Newborn Health Nursing
P. 242

a-  Fundal level: correspond with the period of amenorrhea.

                     b-  Fundal grip: breech occupies the fundus.

                     c-  Umbilical grip: the fetal back is straight rather than curved

                     d-  Pelvic palpation: the head is not engaged

                     2-  Vaginal examination: slow dilatation of the cervix, liability to

                     premature rupture of the membranes and prolapsed cord.

                     3-  When  the membrane is  ruptured it  will  be  clear  to  feel  the

                     presenting part, the  two frontal bones with the  frontal suture in

                     between, the orbital margins. The anterior fontanelle on one side

                     and the nose on the other side.
































                                Fig.,( 24 ) Brow presentation Adopted from

                                   https://o.quizlet.com/eSMO9.kjTt07FqCKinc8yg_m.jpg

                     Mechanism of Labor




                        There is no mechanism of delivery because the head descends

                     by the mento vertical diameter (13.75 cm) which is longer than any





                   241                                  Table of Contents
   237   238   239   240   241   242   243   244   245   246   247