You have just examined a 28-year-old primigravida in spontaneous labor, Examination findings are 0/5 palpable per abdomen, the cervix is 7 cm dilated, cephalic presentation, -1 station, anterior fontanelle palpable with orbital ridges and nasal bridge felt anterior. What is the presenting diameter of the fetus?

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You have just examined a 28-year-old primigravida in spontaneous labor, Examination findings are 0/5 palpable per abdomen, the cervix is 7 cm dilated, cephalic presentation, -1 station, anterior fontanelle palpable with orbital ridges and nasal bridge felt anterior. What is the presenting diameter of the fetus? Answer: mentovertical

Palpation of the anterior fontanelle together with orbital ridges and nasal bridge suggests an abnormal degree of extension of the fetal head. In brow presentation, the presenting anteroposterior diameter is the mentovertical diameter, which is relatively large.

Question context

This question is part of 🧫 Biotechnology within the broader 🧬 Medical Science subject and appears in the SPSC – Sindh Public Service Commission preparation collection. Reviewing the answer together with nearby questions helps reinforce the underlying concept and identify how it may appear in competitive exams.