Cardinal Movements

Question 0

First prerequisite of birth

Answer 0

Descent

Question 1

Descent of fetal head below pelvic inlet

Answer 1

Engagement

Question 2

Emerging of remainder of fetus

Answer 2

Expulsion

Question 3

Chin moves toward te thorax due to resistance of maternal structures

Answer 3

Flexion

Question 4

Restitution

Answer 4

External rotation

Question 5

Movement of chin away from the thorax

Answer 5

Extension

Question 6

Rotation of fetal head from transverse to AP

Answer 6

Internal rotation

Question 7

Greatest transverse diameter of fetal head BPD passes thru the inlet

Answer 7

Engagement

Question 8

Downward movement of fetus thru birth canal

Answer 8

Descent

Question 9

Direct fetal head upward and forward to pelvic outlet

Answer 9

Extension

Question 10

Return of the presenting part towards the position where it is originally directed

Answer 10

External rotation

Question 11

Demonstrates adequacy of pelvic inlet

Answer 11

Engagement

Question 12

Allows narrowest fetal head diameter to present in the birth canal

Answer 12

Flexion

Question 13

Completes birth process

Answer 13

Expulsion

Question 14

Allows fetal shoulder to present

Answer 14

External rotation

Question 15

Will only be accomplished if the fetal head is engaged

Answer 15

Internal rotation

Question 16

Forces on descent

Answer 16

Amniotic fluid
Fundus upon breech
Straightening of fetal body
Bearing down of abdominal muscles

Question 17

Forces of extension

Answer 17

Uterus acting posteriorly

Resistance of pelvic floor anteriorly