Handling and Assisting Flashcards
(Cardinal Movements)
Occurs when the widest part of the fetal head has passed below the maternal pelvic inlet
Engagement
(Cardinal Movements)
The downward movement of the biparietal diameter of the fetal head
Descent
Fetal presenting part is not engaged
Floating
Fetal presenting part has entered pelvis
Fixed
(Cardinal Movements)
Fetal presenting part has passed through pelvic inlet
Engagement
(Cardinal Movements)
The baby moves further downward and then head meets obstruction at the pelvic floor causing ________
Flexion
(Cardinal Movements)
The movement results from the shape of the fetal head
Internal Rotation
(Cardinal Movements)
As the fetal descends further it meets resistance from the perineal muscles and is forced to _______
Extension
(Cardinal Movements)
When head emerges, the shoulders are undergoing internal rotation as they turn in the midpelvis
External Rotation/Restitution
(Cardinal Movements)
The posterior shoulder is born, followed by the anterior shoulder and the rest of the body
Expulsion
DEFIRE ERE
Descent
Engagement
Flexion
Internal Rotation
Extension
External Rotation
Expulsion
What is another name for the First Stage of Labor?
Stage of Dilation
What is the first phase of the first stage of labor?
Latent Phase
How frequent are the contractions in the Latent Phase?
5 to 20 minutes apart
How dilated is the cervix in the Latent Phase?
3 - 4 cm
What is the longest and least intense phase of labor?
Latent Phase
What is the second phase of the first stage of labor?
Active Phase
How dilated is the cervix in the Active Phase?
4 - 7 cm
How frequent are the contractions in the Active Phase?
3 to 4 minutes apart
What is the last phase of the first stage of labor?
Transition Phase
How dilated is the cervix in the Transition Phase?
8 - 10 cm
How frequent are the contractions in the Transition Phase?
Occurring every few minutes, lasts 60 - 90 seconds
What is another name for the Second Stage of Labor?
Stage of Expulsion
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
Ritgen’s Maneuver
What is another name for the third stage of labor?
Placental Stage
The third stage of labor is considered a dangerous time because of the possibility of ___________
hemorrhaging
What is Calkin’s sign?
- First sign of placental separation
- The uterus becomes globular in shape and firmer, indicating placental separation from the uterine wall
What is the second sign of placental separation?
Gushing of blood or sudden gush of blood
What is the third sign of placental separation?
The umbilical cord descends 3 inches or more further out of the vagina
What is the fourth sign of placental separation?
The uterus rises in the abdomen
This is a method of expressing the placenta in which body uterus is vigorously squeezed to produce placental separation
Crede’s Maneuver
What is the Brandt-Andrews Maneuver?
A method of expressing the placenta where application of traction on the cord is done by moving the forcep up, down, left and right
What is Schultze’s mechanism?
a mechanism of delivery where the shiny and glistening or the fetal side of the placenta is showing
What is Duncan mechanism?
a mechanism for delivery where the maternal side or the dirty or rough side is presenting
What is another name for the fourth stage of labor?
Stage of Physical Recovery
When does the Fourth Stage start?
After delivery of the placenta up to 1-4 hours after delivery
