Saraswati College of Nursing Udaipur, RJ

MICROTEACHING ON
Fatal Skull

SUBMITTED TO: Mr. C.G Goswami SUBMITTED By: Shabnam Amin

Asst. Prof. MSc Nursing 1st year
OBG department OBG specialty,
(SCON) (SCON )
 Identification Data

Name of Student teacher SHABNAM AMIN

Class MSc nursing 1st year

Subject obstetrical and gynecological nursing

Venue MSc 1st year (obstetric and gynecological nursing-1) Duration

12 min

Teaching & learning activities lecture cum discussion

A.V . aids flashcards ,PPTs, chalk , board, etc

General objectives : At the completion of the class

students will be able to explain about Fetal Skull, indications
& complications.
SPECIFIC OBJECTIVES :
At the end of the microteaching the students will be
able to:-
• Explain the areas of fetal skull efficiently.
• Enlist the bone of the fetal skull properly.
• Enumerate the sutures of the skull correctly.
• Describe the fontanels appropriately.
• Discuss the diameter effectively.
• Apply the knowledge regarding fetal skull in clinical
setting.
FETAL SKULL
S. No 1.
Time: 2 min
Areas of Fetal
Skull
S.No 2
Time : 3 min,

BOONS OF THE
Fetal SKULL.
S.No 3
Time: 3 min

Sutures of fetal
skull
S.No : 04
Time: 2 min

Fontanels
S.No. 5
Time : 3 min.

Diameters of the
fetal skull
 Brief Explanation
FETAL HEAD
The skull is made up of the base of skull and the vault or cranium.

The vault is made of occipital bone posteriorly, the two parietals at the sides, and the temporal bones and frontal bones anteriorly.

These bones at birth are thin, easily compressible and joined by membrane.

BONY LANDMARKS
• Occiput is the area occupied by the occipital bone and is behind and below the posterior fontanelles.
• Vertex is the area bounded by the two fontanelles and the parietal eminences.

• Sinciput or brow is the area bounded by the bregma and coronal sutures superiorly and inferiorly by the orbital ridges.

• Glabella is the raised area between the orbital ridges.

• Nasion is the root of the nose.

• Parietal bosses are the two eminences on the side of each parietal bone.

SUTURES
 Sagittal suture
  Frontal suture

 Coronal suture

 Lambdoidal suture

FONTANELLES
Fontanelles are the membrane-filled spaces at the meeting point of the sutures.

ANTERIOR FONTANELLE OR BREGMA

 Meeting point of sagittal, coronal and frontal sutures.

 Diamond shaped

 Measures 3x2 cm.

 Ossifies by one and a half years.

POSTERIOR FONTANELLE OR LAMBDA

Junction of sagittal suture and the two lambdoidal sutures

 Smaller than the anterior fontanelles

 Y shaped

 Closes at 6-8 weeks

DIAMETERS OF FETAL SKULL
• ANTERO-POSTERIOR DIAMETERS

1)Suboccipitobregmatic diameter (9.4 cm) extends from the undersurface of the occipital bone where it meets the neck, to the center of the anterior
fontanelle or bregma. It is the diameter that presents when the head is well flexed and in occipitoanterior position.

2) Occipitofrontal diameter(11 cm) extends from the

external occipital protruberance to the glabella and presents when the head is deflexed as in occipitoposterior.

3)Suboccipito frontal (10.5 cm) is another presenting diameter in occipitoposterior.

4) Verticomental (13.5 cm) extends from the vertex to the chin and It is the longest antroposterior diameter of the head and the diameter in which
brow presents.

5) Submentobregmatic (9.4 cm) extends from the junction of the neck and lower jaw to the centre of the anterior fontanelle and is the diameter in
face presentation.

Summary:
The skull is made up of the base of skull and the vault or cranium. The vault is made of occipital bone posteriorly, the two parietals at the sides,
and the temporal bones and frontal bones anteriorly. These bones at birth are thin, easily compressible and joined by membrane.

REFERENCES
Hanretty, K. P. (2010). In a Obstetrics illustrated (Seventh ed., pp. 75-79). Elsevier.

Sheth, S. S. (2011). Pelvis and fetal Skull - Fetopelvic Relationship (V. Sivanesaratnam, A. Chatterjee, & P. Kumar, Eds.). In S. Arulkumaran
(Ed.), A Essentials of ObstetricsA (Second ed., pp. 49-50). India, India: Jaypee Brother Medical.
Dutta, D. (2010). The Fetus-In-Utero. In H. Konar (Ed.), A Zextbook of ObstetricsÅ (Seventh ed., pp. 75-80). London, London: New Central
Agency.

Podder, L. (2019).A Fundamentals of Midwifery and Obstetrical Nursing. New Delhi, India: Elsevier.

Marshal, J. E., & Raynor, M. D. (Eds.). (2014). A Mules Textbook for Midwives (Sixteenth ed.). International... Elsivier.

Open Education Learning (2020). Anatomy of the Female Pelvis and Fetal Skull. Retrieved June 11, 2020, from https://www.google.com/search?
client=safari%2Chttps%3A%2F %2Fwww.open.edu%2Fopenlearncreate%2Fmod%2Foucontent%2Fview.php%3Fid
Bones of the fetal skull
Sutures of fetal sk Fontanels
ull
Diameters of the skull
THANK YOU