Handling and Assisting Flashcards

1
Q

(Cardinal Movements)

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

A

Engagement

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2
Q

(Cardinal Movements)

The downward movement of the biparietal diameter of the fetal head

A

Descent

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3
Q

Fetal presenting part is not engaged

A

Floating

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4
Q

Fetal presenting part has entered pelvis

A

Fixed

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5
Q

(Cardinal Movements)

Fetal presenting part has passed through pelvic inlet

A

Engagement

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6
Q

(Cardinal Movements)

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

A

Flexion

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7
Q

(Cardinal Movements)

The movement results from the shape of the fetal head

A

Internal Rotation

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8
Q

(Cardinal Movements)

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

A

Extension

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9
Q

(Cardinal Movements)

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

A

External Rotation/Restitution

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10
Q

(Cardinal Movements)

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

A

Expulsion

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11
Q

DEFIRE ERE

A

Descent
Engagement
Flexion
Internal Rotation
Extension
External Rotation
Expulsion

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12
Q

What is another name for the First Stage of Labor?

A

Stage of Dilation

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13
Q

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

A

Latent Phase

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14
Q

How frequent are the contractions in the Latent Phase?

A

5 to 20 minutes apart

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15
Q

How dilated is the cervix in the Latent Phase?

A

3 - 4 cm

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16
Q

What is the longest and least intense phase of labor?

A

Latent Phase

17
Q

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

A

Active Phase

18
Q

How dilated is the cervix in the Active Phase?

A

4 - 7 cm

19
Q

How frequent are the contractions in the Active Phase?

A

3 to 4 minutes apart

20
Q

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

A

Transition Phase

21
Q

How dilated is the cervix in the Transition Phase?

A

8 - 10 cm

22
Q

How frequent are the contractions in the Transition Phase?

A

Occurring every few minutes, lasts 60 - 90 seconds

23
Q

What is another name for the Second Stage of Labor?

A

Stage of Expulsion

24
Q

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

A

Ritgen’s Maneuver

25
Q

What is another name for the third stage of labor?

A

Placental Stage

26
Q

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

A

hemorrhaging

27
Q

What is Calkin’s sign?

A
  • First sign of placental separation
  • The uterus becomes globular in shape and firmer, indicating placental separation from the uterine wall
28
Q

What is the second sign of placental separation?

A

Gushing of blood or sudden gush of blood

29
Q

What is the third sign of placental separation?

A

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

30
Q

What is the fourth sign of placental separation?

A

The uterus rises in the abdomen

31
Q

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

A

Crede’s Maneuver

32
Q

What is the Brandt-Andrews Maneuver?

A

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

33
Q

What is Schultze’s mechanism?

A

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

34
Q

What is Duncan mechanism?

A

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

35
Q

What is another name for the fourth stage of labor?

A

Stage of Physical Recovery

36
Q

When does the Fourth Stage start?

A

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