Cervical Examination

Question 1

5 components of Bishop score (cervical examination)

What is a good score?

Answer 1

Dilation, Effacement, Fetal Station, Cervical position, Consistency of cervix

Bishop Score >8 is consistent with cervix favorable for spontaneous and induced labor.

Question 2

Closed cervix, 30% effaced, -3 station, Firm and posterior cervix. Bishop score?

Answer 2

0

Question 3

1-2 cm dilated cervix, 50% effaced, -2 station, medium and mid position cervix. Bishop score?

Answer 3

5 (1 pt. apiece)

Question 4

3-4 cm dilated cervix, 70% effaced, -1 station, soft and anterior cervix. Bishop score?

Answer 4

8 (2 pts. apiece)

Question 5

What is effacement?

Answer 5

how much length is left of the cervix and how thinned out it is

[3-5 cm]

100% = cervix is as thin as adjoining lower uterine segment

Question 6

What is station?

Answer 6

Relation of fetal head to the ischial spines

0: at the level of ischial spines
(-): above
(+): below

Question 7

Describe a posterior cervix.

Answer 7

High in the pelvis, located behind fetal head, and difficult to reach

Question 8

Describe an anterior cervix

Answer 8

Felt easily on exam and lower down in the vagina