MCN LEC SAS 15

1.D

-Immediately before expulsion, the cardinal movement of external rotation occurs in order to realign
the shoulders and to facilitate delivery of the rest of the body.

2.B

-As soon as the head extends, feel the nape of the neck for any cord coil; suction only as necessary.
promote extemal rotation and support the delivery of the rest of the body. Make sure there is no
meconium staining before the baby is stimulated to cry.

3.B

-The correct sequence of the cardinal movements of labor are: engagement, descent, flexion, internal
rotation, extension, extemal rotation and expulsion. Options A, C and D are not in proper sequence.

4.A

-Engagement is the mechanism whereby the fetus nestles into the pelvis. It is also termed lightening or
dropping.

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Education (Department of Nursing)

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5.A

-Flexion occurs as the fetus reaches the pelvic floor, aided by the contractions of the uterus; the head
bends forward onto the chest, making the smallest diameter (SOB) to be presented.

6.C

-Panting or short breaths when crowning is observed slows down the delivery of the fetal head
preventing sudden changes in intracranial pressure which can lead to intracranial hemorrhage and
perineal lacerations. Option A is recommended between contractions in early labor. Option C may lead
to intracranial hemorrhage of the newborn and perineal lacerations. Transfer to the delivery room is
done at 8 cm dilatation for multigravida and 10 cm for primigravida.

7.B

-Station is defined as the relationship of the presenting part to the ischial spine.

8.A

- "Bearing down" using abdominal muscles plus fundal contractions provide the power that moves the
fetus forward.

9.D

-Engagement is assessed by vaginal & cervical examination. It refers to the relationship of the presenting
part of the fetus to the level of the ischial spines.

10.C

-It begins at the level of the ischial spine and it serves to align the fetus in the optimum position to
continue descent through the pelvic outlet.