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BRM > Capstone Quiz > Flashcards

Capstone Quiz Flashcards

1
Q

BRM’s goal of body alignment is to get your clients to find optimal alignment 100% of the time. True or False?

A

False

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2
Q

What are 2 goals of assessing and and teaching alignment?

A
  1. Having a baseline
  2. Helping the client start to self correct
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3
Q

In order to assess alignment, we look at the following 5 body parts:

A

Feet, Hips, Pelvis, Ribs, Shoulders

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4
Q

What is Biomechanical Advantage?

A

Your body is primed to be the strongest and most efficient at managing the forces acting on it because it is in alignment.

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5
Q

Why is it important for the ribs to be stacked over the pelvis? 2 things

A
  1. less compressing in spine
  2. better core engagement
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6
Q

What are two issues associated with the hips being in front of the feet?

A
  1. Compresses the lower back
  2. Glutes not activated
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7
Q

What are two issues associated with the ribs being thrusted?

A
  1. Compresses spine
  2. Core not supported
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8
Q

What are two issues associated with the feet being turned out?

A
  1. Can’t access outer hip muscles
  2. Decreased support to the pelvic floor
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9
Q

If a client has an anterior tilt in their pelvis, what would you work on first?

A

Make sure hips are staked over feet

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10
Q

Blood volume decreases during the beginning of pregnancy: true or false

A

False

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11
Q

What is supine hypotension?

A

A drop in blood pressure because the inferior vena cava is being compressed

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12
Q

What can help with shortness of breath during pregnancy?

A

Rib mobility

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13
Q

Is there an increase or decrease in oxygen consumption during pregnancy?

A

Increase

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14
Q

Hernias, Diastasis Recti and pelvic floor dysfunction occur when IAP is too high or low?

A

high

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15
Q

What is IAP?

A

Intra abdominal pressure - the amount of pressure inside the abdominal cavity

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16
Q

What produces progesterone?

A

Ovaries in beginning of pregnancy, placenta after it’s formed after about 10 weeks

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17
Q

What is the hormone that keeps the uterine lining from shedding?

A

HCG - Human Chorionic Gonadotropin

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18
Q

What hormone reaches the highest level ever during pregnancy?

A

Estrogen

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19
Q

What does HPL do?

A

Human Placental Lactogen - helps modify the pregnant person’s metabolism to support the growing fetus; only present during pregnancy, increases until term

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20
Q

What are 3 common lifestyle contributors to mal-alignment?

A

Sleeping, Sitting, Standing

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21
Q

What 4 movements does upper body mobility contribute to?

A

Push, Pull, Lift, Reach out

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22
Q

What is upper body mobility directly related to?

A

Type of breath available

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23
Q

What is the most optimal type of breathing?

A

3D breathing

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24
Q

What does belly breathing do to IAP?

A

Increases

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25
Q

What is bulging?

A

When abdominal muscles move outward during core engagement

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26
Q

What is bracing?

A

When abdominal muscles contract like when you are expecting to get punched in the stomach

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27
Q

What is bearing down?

A

Pushing down on your pelvic floor, like when you are having a bowel movement

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28
Q

What two things can restrict the ability of the ribs to expand?

A

Tight bra, limited upper body mobility

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29
Q

What are 4 jobs of the core?

A
  1. Provide movement
  2. Protect internal organs
  3. Stabilize upper body
  4. Manage IAP
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30
Q

What is the function of the core during birth?

A

Optimizing baby’s positioning

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31
Q

Describe oblique dominance

A

The oblique muscles take over the TA

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32
Q

What does internal oblique dominance cause the ribs to do?

A

Flare out - more associated with DR

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33
Q

What does external oblique dominance cause the ribs to do?

A

Draw in - more associated with prolapse

34
Q

Sacral counternutation creates space in what part of the pelvis?

A

Inlet

35
Q

Sacral nutation creates space in what part of the pelvis?

A

outlet

36
Q

What is the response of the pelvis when the femur is flexed LESS than 90 at the hip joint

A

Sacrum is free to move into counternutation or nutation

37
Q

What is the response of the pelvis when the femur is flexed MORE than 90 at the hip joint

A

Nutation occurs - iliac nutation

38
Q

Where is space created in the pelvis when the femur is ABducted

A

Outlet

39
Q

Where is space created in the pelvis when the femur is ADducted

A

Inlet

40
Q

Where is space created in the pelvis when the femur is internally rotated?

A

outlet

41
Q

Where is space created in the pelvis when the femur is externally rotated?

A

inlet

42
Q

Where is space created in the pelvis when there is lumbar flexion?

A

inlet - causes counternutation

43
Q

Where is space created in the pelvis when there is lumbar extension?

A

outlet - causes nutation

44
Q

Iliac counternutation creates space front to back in the pelvic ___

A

Inlet

45
Q

Iliac nutation creates space front to back in the pelvic ___

A

Outlet

46
Q

Overlengthened hip extensors are most associated with what kind of pelvic position

A

Anterior tilt

47
Q

Overlengthened hip flexors are most associated with what kind of pelvic position

A

Posterior tilt

48
Q

Why does the glute scoot work to address an overly shortened QL?

A

It is loading the QL and asking it to move in a lengthened state

49
Q

How many traditional cardinal movements are there?

A

7
1. Engagement
2. Descent
3. Flexion
4. Internal rotation
5. Extension
6. External rotation
7. Expulsion

50
Q

What are the 4 modern cardinal movements of birth?

A
  1. Flexion
  2. Internal rotation
  3. Extension
  4. External rotation
51
Q

Loading the posterior chain is a good way to work on space in what two levels of the pelvis?

A

Mid pelvis, outlet

52
Q

List the 9 clues that tell us where the baby is in the pelvis

A
  1. Cervical exam (station)
  2. Emotions
  3. Smell - musky toward end of dilation
  4. Bloody show - early dilation, and around 6-8cm
  5. Sounds - low is better!
  6. Purple line - higher toward natal cleft = closer to 10cm
  7. Location of contraction felt
  8. Rhombus of Michaelis
  9. Movements
53
Q

Where are contractions often felt when baby is at the inlet?

A

mid-back (sacral promontory), side of the hips, pubic bone, and round ligament or belly

54
Q

Where are contractions felt as baby moves toward mid pelvis?

A

pelvic floor, cervical sensations, then low back and rectally.

55
Q

Where are contractions felt as baby moves toward outlet?

A

rectal, low back, sitz bones, tailbone

56
Q

During the flow state, what part of the brain takes over?

A

Limbic system

57
Q

What three things can help a birthing person maintain their flow state?

A

Sounds, rhythm, environmental factors

58
Q

What are the two main things that can pull a birthing person out of their flow state?

A

Distractions, imbalance between perceived challenge and level of skill

59
Q

What are three things to consider when helping a birthing person address their physical needs?

A

Eating, drinking, eliminating

60
Q

What are the 4 “Free the pelvis” birthing positions?

A
  1. Hip flexion equal to or less than 90 degrees
  2. Birth ball or toilet
  3. Standing
  4. Side lying
61
Q

When there is a delay at the pelvic inlet, where do we typically want to create more space?

A

Front to back - counternutation

62
Q

When there is a delay at the mid pelvis, where do we typically want to create more space?

A

Asymmetrically

63
Q

Name 8 moves to help with a delay at the pelvic inlet

A
  1. Abdominal tuck and lift
  2. Flying cowgirl
  3. Pelvic tuck untuck
  4. Birth ball
  5. Standing psoas release
  6. Supported hip extension
  7. Walchers
  8. Walking
64
Q

Name 6 positions to help with a mid pelvis delay

A
  1. Hands and knees with 1 knee higher
  2. Exaggerated side lying
  3. Lunge
  4. Peanut ball positions
  5. Sitting on birth ball
  6. Wide legged squat
65
Q

Name 4 positions to help with an outlet delay

A
  1. Reaching up with untucked squat
  2. Hands and knees internal hips
  3. Side lying internal rotation (peanut ball)
  4. Movement and variety
66
Q

Name 4 hands on assists for inlet delay

A
  1. Glute/back shaking
  2. Heat on low back
  3. Tucking sacral press
  4. Side lying SI mobilization
67
Q

Name 6 hands on assists for mid pelvis delay

A
  1. Double hip squeeze as ASIS
  2. Sacrotuberous release
  3. Side lying SI mobilization
  4. Passive leg movements (if epidural)
  5. Glute shake
  6. Side lying release
68
Q

Name 7 hands on assists for pelvic outlet delay

A
  1. Double hip squeeze (ASIS or Iliac crest)
  2. Obturator Internus release
  3. Sitz bone spread
  4. Untucking sacral press
  5. Glute and posterior chain shake
  6. Side lying SI mobilization
  7. Sacrotuberous release
69
Q

Name 5 possible contributors to prodromal labor

A
  1. Fetal malposition
  2. Imbalance
  3. Mental factors
  4. Multiparous person (has given birth before)
  5. Membrane sweep
70
Q

Name 4 signs of prodromal labor

A
  1. Contractions timeable but somewhat sporadic
  2. Change in activity level does not change frequency or intensity of contractions
  3. Hydration level does not change frequency or intensity of contractions
  4. Contractions not getting longer, stronger, or closer together
71
Q

List 8 tools to help someone in prodromal labor

A
  1. Psoas release
  2. Forward leaning inversion
  3. Side lying release
  4. Shaking
  5. Body work
  6. Belly sifting
  7. Dip the hip
  8. Warm bath
72
Q

How is labor dystocia defined?

A
  1. First time birther: >2 hours pushing without epidural, >3 hours pushing with epidural
  2. Experienced birther: >1 hour pushing without epidural, >2 hours pushing with epidural
73
Q

What are the 4 categories of labor dystocia?

A
  1. Passage- restrictions
  2. Passenger- size discrepancy
  3. Power-
  4. Provider
74
Q

Name 4 tools to help a person experiencing true back labor

A
  1. Dip the hip
  2. Belly sifting
  3. Lift and Tuck
  4. Forward leaning inversion
75
Q

What four things are important to note when sharing PROM with a medical provider?

A

Color
Odor
Amount
Time since

76
Q

What are two birthing positions that can help prevent tearing?

A

Side lying
Kneeling

77
Q

When is the immediate postpartum period?

A

birth - 6 weeks

78
Q

When is the initial postpartum period?

A

6-12 weeks

79
Q

When is the early postpartum period?

A

12 weeks - 12-18mo

80
Q

What are the Daily 7?

A

Moves for immediate postpartum
1. Neck stretch
2. Candles breathing
3. Side bends
4. Chest openers
5. Calf stretch
6. Hip hinge
7. Psoas release

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