The relationship of the long axis of foetus to the long axis of uterus is?

Appeared in: RUHS, Jaipur, PB B.Sc Nursing Entrance-2018

Explanation

The correct term for the relationship between the long axis of the fetus and the long axis of the uterus is Lie.
This describes how the fetus is aligned within the uterus.
The most common lie is longitudinal, where the fetal and maternal spines are parallel, occurring in over 99% of term pregnancies.
Other types include transverse and oblique lies, which are considered abnormal and can complicate delivery.

Option B: Attitude describes the relationship of the fetal parts (head, limbs) to its own trunk, not its relationship to the uterus.
Option C: Presentation refers to the part of the fetus that is lowest in the uterus and enters the pelvic inlet first.
Option D: Position describes the relationship of a specific landmark on the fetal presenting part (like the occiput or sacrum) to the mother's pelvis (anterior, posterior, left, or right).

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Fetopelvic Relationship Terminology as background academic context rather than a clinical decision trigger.
Determining the fetal lie is a critical component of the Leopold maneuvers performed during antenatal check-ups and on admission for labor.
An abnormal lie, such as transverse or oblique, is a contraindication for vaginal delivery at term because it can lead to obstructed labor, uterine rupture, and cord prolapse.
What if? If a transverse lie is detected at term before labor begins, an external cephalic version (ECV) may be attempted to turn the fetus to a longitudinal lie. If ECV fails or is contraindicated, or if the transverse lie is discovered during labor, a cesarean section is necessary for safe delivery.

How to Approach the Question

This is a factual recall question testing knowledge of fundamental obstetric terminology.
Identify the key phrases in the question: 'long axis of foetus' and 'long axis of uterus'.
Recall the definitions of the four options: Lie, Attitude, Presentation, and Position.
Match the definition that describes the relationship between the two long axes.
The definition of 'Lie' directly corresponds to the relationship between the fetal and maternal longitudinal axes.

Concept Tested & Keywords

QCgeWUwG4SfRZoWyyAM4rX

E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 46-54

E6 Obstetrics Williams p. 19-36

Practise the full RUHS, Jaipur, PB B.Sc Nursing Entrance-2018

Attempt every question from this paper in a timed mock, then review the full solution for each one.