A pregnant client asks the nurse to explain the meaning of "cephalopelvic disproportion." Which explanation should the nurse give to the client?
a. "It means a large for gestational age fetus."
b. "It is the narrow opening between the ischial spines."
c. "There is an uneven size between the fetus' presenting part and the pelvis."
d. "The shape of the pelvis is an android shape and is unfavorable for vaginal delivery."
ANS: C
Cephalopelvic disproportion means a disproportion (or uneven size) between the fetus' presenting part and the maternal pelvis. It does not mean a large for gestational age fetus or that the pelvis is an android shape. The narrow opening between the ischial spines is called the transverse measurement.
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