Pelvic Diameter Measurement in Gravid Women
This question asks to identify which specific pelvic diameter can be measured directly using an examining finger during a pelvic assessment of a woman at term pregnancy.
Measurable Pelvic Diameter
The diagonal conjugate is the correct answer because it is the only dimension among the options that can be directly palpated and measured by the examiner's fingers.
This measurement spans from the inferior posterior border of the pubic symphysis to the sacrococcygeal junction.
Diameters Not Directly Measured
The true conjugate and the obstetric conjugate, which relate to the anteroposterior diameter of the pelvic inlet, cannot be measured directly via digital examination.
The obstetric conjugate is clinically significant as the shortest AP diameter, but it is typically estimated based on the diagonal conjugate measurement, not measured directly.
Therefore, the diagonal conjugate is the specific diameter assessable by digital palpation in this clinical scenario.
Important Questions from Normal Labour
Which of the following features are correct regarding onset of true labour?
1. Regular uterine contractions
2. Progressive cervical dilation and effacement
3. Presence of show
4. Labour and delivery are synonymous
Select the answer using the code given below.
- According to the WHO Intrapartum Care Guidelines, 2018, the active phase of labour starts from what dilation of cervix?
Onset of labour is initiated by which of the following?
1. Uterine distension
2. Increased CRH and ACTH from foetal hypothalamic-pituitary- adrenal axis
3. Increased level of progesterone immediately before labour
4. Increased synthesis of myometrial receptors for oxytocin due to effect of oestrogen
Select the correct answer using the code given below.
- The normal rate of dilatation of the cervix in a primigravida in the active phase of labor is
- Regarding the phenomenon of 'lightening' in primigravida at term pregnancy, which one of the following statements is correct?
