MIDTERM NCM 107 RLE
EXAM QUESTIONS AND
ANSWERS
Engagement - Answer- This is when the largest diameter of the fetal head descends
into the maternal pelvis.
Engagement - Answer- Refers to the widest part of the fetal head successfully
negotiating its way down deep into the maternal pelvis.
3/5th - Answer- Engagement is identified by abdominal palpation, where the fetal head
is ___ palpable or less.
Descent - Answer- In the primigravida this is likely to occur from 38 weeks gestation
onwards, in a multigravida woman, this may not occur until labor is established
Descent - Answer- the downward movement of the biparietal diameter of the fetal head
to within the pelvic inlet.
Flexion - Answer- the head bends forward onto the chest, making the smallest
anteroposterior diameter (the suboccipitobregmatic diameter) the one presented to the
birth canal.
Internal rotation - Answer- the occiput rotates until it is superior, or just below the
symphysis pubis, bringing the head into the best relationship to the outlet of the pelvis.
Crowning - Answer- When the widest diameter of the fetal head successfully negotiates
through the narrowest part of the maternal bony pelvis
Pant - Answer- During crowning, complete delivery of the head is now imminent and
often the woman, who has been pushing, is encouraged to do this so that the head is
born with control.
Extension - Answer- As the occiput is born, the back of the neck stops beneath the
pubic arch and acts as a pivot, for the rest of the head.
The head extends, and the foremost parts of the head, the face and chin are born.
, External rotation - Answer- rotation, almost immediately after the head of the infant is
born, the head rotates back to the diagonal or transverse position of the early part of
labor.
It brings the aftercoming shoulders into an anteroposterior position, which is best for
entering the outlet.
Expulsion - Answer- Once the shoulders are born, the rest of the baby is born easily
and smoothly because of its smaller size. This movement is the end of the pelvic
division of labor.
Drainage of secretion - Answer- Rationale of infant held with his head in a dependent
position (head lower than the rest of the body)
to encourage flow of blood from the placenta to the baby - Answer- Rationale of after
the delivery the newborn should be held below the level of the mother's vulva for a few
minutes.
Immediate and thorough drying - Answer- First 30 seconds
Skin to skin contact
Administer oxytocin
Cord clamping - Answer- 1-3 minutes
2cm - Answer- clamps cord using the plastic clamp or cord or tie how many cm from the
base?
5 cm - Answer- Clamp cord using instrument clamp how many cm from the base?
When there are strong uterine contraction - Answer- When will you apply controlled cord
traction and counter
traction on the uterus, continuing until placenta is delivered?
Brandt Andrew Maneuver - Answer- One hand is placed on the abdomen to push uterus
upward and backward and prevent uterine inversion while the other hand exerts
sustained downward traction on the umbilical cord
Upward - Answer- In the Brandt Andrew Maneuver, the hand placed on the abdomen to
push uterus on what direction?
Downward - Answer- In the Brandt Andrew Maneuver, the hand that exerts sustained
traction on the umbilical cord push on what direction?
400-600 lb - Answer- Placenta weight
30 - Answer- Number of cotyledons
EXAM QUESTIONS AND
ANSWERS
Engagement - Answer- This is when the largest diameter of the fetal head descends
into the maternal pelvis.
Engagement - Answer- Refers to the widest part of the fetal head successfully
negotiating its way down deep into the maternal pelvis.
3/5th - Answer- Engagement is identified by abdominal palpation, where the fetal head
is ___ palpable or less.
Descent - Answer- In the primigravida this is likely to occur from 38 weeks gestation
onwards, in a multigravida woman, this may not occur until labor is established
Descent - Answer- the downward movement of the biparietal diameter of the fetal head
to within the pelvic inlet.
Flexion - Answer- the head bends forward onto the chest, making the smallest
anteroposterior diameter (the suboccipitobregmatic diameter) the one presented to the
birth canal.
Internal rotation - Answer- the occiput rotates until it is superior, or just below the
symphysis pubis, bringing the head into the best relationship to the outlet of the pelvis.
Crowning - Answer- When the widest diameter of the fetal head successfully negotiates
through the narrowest part of the maternal bony pelvis
Pant - Answer- During crowning, complete delivery of the head is now imminent and
often the woman, who has been pushing, is encouraged to do this so that the head is
born with control.
Extension - Answer- As the occiput is born, the back of the neck stops beneath the
pubic arch and acts as a pivot, for the rest of the head.
The head extends, and the foremost parts of the head, the face and chin are born.
, External rotation - Answer- rotation, almost immediately after the head of the infant is
born, the head rotates back to the diagonal or transverse position of the early part of
labor.
It brings the aftercoming shoulders into an anteroposterior position, which is best for
entering the outlet.
Expulsion - Answer- Once the shoulders are born, the rest of the baby is born easily
and smoothly because of its smaller size. This movement is the end of the pelvic
division of labor.
Drainage of secretion - Answer- Rationale of infant held with his head in a dependent
position (head lower than the rest of the body)
to encourage flow of blood from the placenta to the baby - Answer- Rationale of after
the delivery the newborn should be held below the level of the mother's vulva for a few
minutes.
Immediate and thorough drying - Answer- First 30 seconds
Skin to skin contact
Administer oxytocin
Cord clamping - Answer- 1-3 minutes
2cm - Answer- clamps cord using the plastic clamp or cord or tie how many cm from the
base?
5 cm - Answer- Clamp cord using instrument clamp how many cm from the base?
When there are strong uterine contraction - Answer- When will you apply controlled cord
traction and counter
traction on the uterus, continuing until placenta is delivered?
Brandt Andrew Maneuver - Answer- One hand is placed on the abdomen to push uterus
upward and backward and prevent uterine inversion while the other hand exerts
sustained downward traction on the umbilical cord
Upward - Answer- In the Brandt Andrew Maneuver, the hand placed on the abdomen to
push uterus on what direction?
Downward - Answer- In the Brandt Andrew Maneuver, the hand that exerts sustained
traction on the umbilical cord push on what direction?
400-600 lb - Answer- Placenta weight
30 - Answer- Number of cotyledons
