North American Registry of Midwives (NARM) Practice Exam

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When the fetal head is flexed, what is the position of the cephalic prominence?

On the same side as the back
On the opposite side of the back
Above the fetal body
Directly below the fetus

The correct answer is: On the opposite side of the back

When the fetal head is flexed, the cephalic prominence, which is the protruding part of the head that can be felt during vaginal examination, is located on the opposite side of the back. This positioning is due to the way the fetus's body is aligned. In a flexed position, the chin is tucked toward the fetal chest, which allows the back of the head to present more to the birth canal. As a result of this flexion, the cephalic prominence is positioned away from the side of the back, often making it more accessible for palpation on the opposite side during assessments. Understanding this relationship is crucial for midwives in determining fetal position and planning for labor and delivery.