The fetal skull consists of 3 main parts - the vault, face, and base/brow. The vault contains 2 frontal bones, 2 parietal bones, 1 occipital bone, and 2 temporal bones, separated by sutures including the frontal, coronal, sagittal, and lambdoid sutures. There are 6 fontanelles but the 2 important ones in obstetrics are the anterior and posterior fontanelles. Understanding the diameters, landmarks, and molding process of the fetal skull is important for midwives to evaluate labor progression and fetal well-being.