![]() The nurse knows the contractions are of moderate intensity when they feel like a. Expulsion: After external rotation (restitution), the top shoulder is delivered under the mother’s pubic bone followed by the bottom shoulder, and then the rest of the baby’s body can be delivered with an upward movement by the healthcare professional. Name and describe the seven cardinal labor movements, in correct sequential order Identify when the first of the seven cardinal labor movements can occur Practice Exams. Study with Quizlet and memorize flashcards containing terms like The nurse is palpating the uterus of a patient who has been in active labor for several hours.This movement is also known as restitution. ![]() External Rotation/Restitution: Once the baby’s head is born, the baby must rotate from facing head down to either right or left to fit the shoulders around and under the mother’s pubic arch. ![]() The baby’s head, face, and chin appear outside the mother. The baby’s head must extend back to accommodate the upward curvature of the birth canal. Extension: Usually, the back of the baby’s head is against the mother’s pubic bone as it passes through the vaginal opening.Usually, the baby faces down toward the mother’s spine, although sometimes the baby faces the mother’s pubic bone. The baby’s head rotates to accommodate these changes in the diameter of the mother’s pelvis. Now, with the baby reaching the mother’s pelvic floor, the widest diameter of the mother’s pelvis is from front to back. Internal Rotation: When the baby’s head enters the mother’s pelvis (engagement), the widest diameter of the mother’s pelvis is from right to left.As the baby’s head meets resistance from the soft tissue of the mother’s pelvis, the baby’s head flexes downward so that the baby’s chin touches the baby’s chest. Flexion: Flexion occurs during descent. The teacher reviews the cardinal movements of labor and determines the instruction has been effective when the student correctly states the order of the cardinal movements as follows: Correct response: descent, flexion, internal rotation, extension, external rotation, expulsion. ![]()
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