Practice Quiz

CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

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During passage through the birth canal, the alternation in shape of the forthcoming head of the baby during labor is called molding. Which of the following statements is true regarding degrees of head molding?
  1. Grade 1: The bones may touch but are not overlapping
  2. Grade 2: The bones may overlap but are easily separated
  3. Grade 3: Overlapping may occur
  4. All of the above
Explanation
Answer: D - All of the above

Molding is the alternation of the shape of the forecoming head of the baby while passing through the birth passage during labor. The molding typically disappears a few hours after birth. In vertex presentation (which is the normal delivery presentation), pressure on the head in the birth canal may mold it into an oblong shape. Caput succedaneum is a fetal complication in which fluid collects in the baby’s scalp (and cephalohematoma refers to blood collected beneath the scalp); these complications also cause moulding to occur.
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