Which of the following is normal position of uterus:

Appeared in: BHU NO-2019

Explanation

The normal position of the uterus is anteverted and anteflexed, meaning it is tilted and bent forward, typically resting over the urinary bladder.
Anteversion refers to the forward tilt of the entire uterus at the cervix, relative to the axis of the vagina.
Anteflexion refers to the forward bend of the body of the uterus relative to the cervix.
This position is maintained by the support of the pelvic floor muscles and ligaments, such as the round ligament.

Option B: This describes a uterus that is tilted and bent backward toward the rectum. It is not the most common or standard anatomical position.
Option C: The term 'reflected' is not a standard medical term used to describe the position or flexion of the uterus, making this option incorrect.
Option D: This describes a uterus that is tilted backward (retroverted) but the body is bent forward on the cervix (anteflexed). This is an unusual and not the typical anatomical position.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Anatomy and normal position of the uterus as background academic context rather than a clinical decision trigger.
Understanding uterine position is crucial for performing accurate pelvic examinations, inserting intrauterine devices (IUDs), and diagnosing conditions like uterine prolapse.
A retroverted uterus is often a normal, asymptomatic variant but can be associated with symptoms like dyspareunia (painful intercourse) or dysmenorrhea, especially if it is fixed in place by conditions like endometriosis or pelvic adhesions.
What if? If a woman with a retroverted uterus becomes pregnant, the uterus usually enlarges and rises out of the pelvis, spontaneously correcting to an anteverted position by 10-12 weeks of gestation. Rarely, it can become trapped in the pelvis (an 'incarcerated uterus'), leading to urinary retention, which is a medical emergency requiring prompt intervention.

How to Approach the Question

This is a factual recall question about female reproductive anatomy.
First, identify the keywords in the question: 'normal position' and 'uterus'.
Recall the two components that describe uterine position: 'version' (the angle of the uterus in relation to the vagina) and 'flexion' (the angle of the uterine body in relation to the cervix).
Remember the meaning of the prefixes: 'ante-' means forward, and 'retro-' means backward.
The standard, most common anatomical position is tilted forward (anteverted) and bent forward (anteflexed).
Evaluate the given options to find the one that correctly matches this description.

Concept Tested & Keywords

Qd1IOFvvM-eVGMVbXYyQzx

E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 1-3

E6 Obstetrics Williams p. 29-50

Practise the full BHU NO-2019

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