North American Registry of Midwives (NARM) Practice Exam

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When the fetal head is extended, what will be the cephalic prominence?

Forehead
Occiput
Chin
Nape

The correct answer is: Occiput

When the fetal head is extended, the cephalic prominence refers to the part of the fetal head that is most prominent during the descent through the birth canal. In this position, the occiput becomes the forward-most point and thus the cephalic prominence. This is because when the head is extended, the forehead moves backward, and the occiput moves forward, presenting itself more prominently. Understanding fetal positioning is crucial during labor and can influence how the birthing process progresses. In an extended position, the effects on labor dynamics, pelvic engagement, and overall delivery can be significant. Recognizing anatomical landmarks such as the occiput in this context allows midwives to better assess labor progress and adjust positions to facilitate a smoother delivery.