Handling and Assisting

Question 1

(Cardinal Movements)

Occurs when the widest part of the fetal head has passed below the maternal pelvic inlet

Answer 1

Engagement

Question 2

(Cardinal Movements)

The downward movement of the biparietal diameter of the fetal head

Answer 2

Descent

Question 3

Fetal presenting part is not engaged

Answer 3

Floating

Question 4

Fetal presenting part has entered pelvis

Answer 4

Fixed

Question 5

(Cardinal Movements)

Fetal presenting part has passed through pelvic inlet

Answer 5

Engagement

Question 6

(Cardinal Movements)

The baby moves further downward and then head meets obstruction at the pelvic floor causing ________

Answer 6

Flexion

Question 7

(Cardinal Movements)

The movement results from the shape of the fetal head

Answer 7

Internal Rotation

Question 8

(Cardinal Movements)

As the fetal descends further it meets resistance from the perineal muscles and is forced to _______

Answer 8

Extension

Question 9

(Cardinal Movements)

When head emerges, the shoulders are undergoing internal rotation as they turn in the midpelvis

Answer 9

External Rotation/Restitution

Question 10

(Cardinal Movements)

The posterior shoulder is born, followed by the anterior shoulder and the rest of the body

Answer 10

Expulsion

Question 11

DEFIRE ERE

Answer 11

Descent
Engagement
Flexion
Internal Rotation
Extension
External Rotation
Expulsion

Question 12

What is another name for the First Stage of Labor?

Answer 12

Stage of Dilation

Question 13

What is the first phase of the first stage of labor?

Answer 13

Latent Phase

Question 14

How frequent are the contractions in the Latent Phase?

Answer 14

5 to 20 minutes apart

Question 15

How dilated is the cervix in the Latent Phase?

Answer 15

3 - 4 cm

Question 16

What is the longest and least intense phase of labor?

Answer 16

Latent Phase

Question 17

What is the second phase of the first stage of labor?

Answer 17

Active Phase

Question 18

How dilated is the cervix in the Active Phase?

Answer 18

4 - 7 cm

Question 19

How frequent are the contractions in the Active Phase?

Answer 19

3 to 4 minutes apart

Question 20

What is the last phase of the first stage of labor?

Answer 20

Transition Phase

Question 21

How dilated is the cervix in the Transition Phase?

Answer 21

8 - 10 cm

Question 22

How frequent are the contractions in the Transition Phase?

Answer 22

Occurring every few minutes, lasts 60 - 90 seconds

Question 23

What is another name for the Second Stage of Labor?

Answer 23

Stage of Expulsion

Question 24

This maneuver denotes extracting the fetal head, where one hand pulls the fetal chin and the other hand is on the fetal occiput to control the speed of delivery

Answer 24

Ritgen’s Maneuver

Question 25

What is another name for the third stage of labor?

Answer 25

Placental Stage

Question 26

The third stage of labor is considered a dangerous time because of the possibility of ___________

Answer 26

hemorrhaging

Question 27

What is Calkin's sign?

Answer 27

- First sign of placental separation - The uterus becomes globular in shape and firmer, indicating placental separation from the uterine wall

Question 28

What is the second sign of placental separation?

Answer 28

Gushing of blood or sudden gush of blood

Question 29

What is the third sign of placental separation?

Answer 29

The umbilical cord descends 3 inches or more further out of the vagina

Question 30

What is the fourth sign of placental separation?

Answer 30

The uterus rises in the abdomen

Question 31

This is a method of expressing the placenta in which body uterus is vigorously squeezed to produce placental separation

Answer 31

Crede's Maneuver

Question 32

What is the Brandt-Andrews Maneuver?

Answer 32

A method of expressing the placenta where application of traction on the cord is done by moving the forcep up, down, left and right

Question 33

What is Schultze's mechanism?

Answer 33

a mechanism of delivery where the shiny and glistening or the fetal side of the placenta is showing

Question 34

What is Duncan mechanism?

Answer 34

a mechanism for delivery where the maternal side or the dirty or rough side is presenting

Question 35

What is another name for the fourth stage of labor?

Answer 35

Stage of Physical Recovery

Question 36

When does the Fourth Stage start?

Answer 36

After delivery of the placenta up to 1-4 hours after delivery