North American Registry of Midwives (NARM) Practice Exam

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What is the largest diameter of the fetal head?

  1. Occipito-frontal

  2. Occipito-mental

  3. Frontal-mental

  4. Mento-vertical

The correct answer is: Occipito-mental

The largest diameter of the fetal head is the occipito-mental diameter. This measurement is taken from the occiput (the back of the head) to the mentum (the chin) and is significant during childbirth. Since the occipito-mental diameter represents the greatest distance across the fetal head, understanding its dimensions is crucial for assessing how the fetus may fit through the birth canal. In the context of labor and delivery, this measurement plays a vital role in determining potential difficulties that may arise during the passage through the pelvis. Knowing this diameter helps midwives and healthcare providers anticipate and manage situations where the fetal head may not fit easily, thus ensuring better outcomes for both the mother and child.