During a vaginal examination, the fetal skull bones overlap and cannot be separated with gentle pressure. What does this finding suggest?

Correct answer: A. Marked molding and possible difficulty with descent

  • A. Marked molding and possible difficulty with descent
  • B. Normal mild molding during early labour
  • C. Caput succedaneum caused by scalp edema
  • D. Complete cervical dilatation with imminent birth

Explanation

Severe molding occurs when the skull bones overlap firmly and do not separate easily. It may indicate cephalopelvic disproportion or obstructed labour, whereas mild molding is usually flexible and less concerning.

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Normal labour covers the onset and stages of labour, cervical effacement and dilatation, fetal lie and presentation, the cardinal movements, and maternal and fetal monitoring. It includes partograph use, pain relief, normal vaginal birth, active management of the third stage, placental assessment and immediate care after delivery.

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