The nurse is preparing to measure the diagonal conjugate of a pregnant patient's pelvis. Which anatomic landmarks will the nurse use to make this measurement?
A) Medial surface of the ischial tuberosities
B) Posterior surface of sacrum and the axis of the ischial tuberosities
C) Interior surface of the sacral prominence and the posterior surface of the symphysis pubis
D) Anterior surface of the sacral prominence and the posterior surface of the symphysis pubis
D
Feedback:
The diagonal conjugate is the measurement between the anterior surface of the sacral prominence and the posterior surface of the symphysis pubis. The ischial tuberosity diameter measurement is the distance between the ischial tuberosities or the transverse diameter of the outlet and is made at the medial and lowermost aspect of the ischial tuberosities at the level of the anus. Measurements are not made from the posterior surface of the sacrum and the axis of the ischial tuberosities or the interior surface of the sacral prominence and the posterior surface of the symphysis pubis.
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