Labor, Birth & Immediate Postpartum Flashcards

In a vertex birth, which cardinal movement occurs immediately after extension of the fetal head?

Answer: Restitution

After the head is born by extension, it untwists back into alignment with the shoulders, which is called restitution.

The second stage of labor begins at which point?

Answer: Complete cervical dilation

The second stage runs from complete (10 cm) dilation until the baby is born.

Which finding is NOT a typical sign of placental separation?

Answer: The cord retracting back into the vagina

When the placenta separates, the cord lengthens outward; if the cord pulls back in, the placenta has not separated.

A presenting part at station 0 is located at the level of which landmark?

Answer: Ischial spines

Station 0 means the leading bony part is level with the ischial spines.

Which of the following is NOT a component of the Bishop score?

Answer: Fetal heart rate baseline

The Bishop score uses dilation, effacement, station, consistency, and cervical position, not fetal heart rate.

What is the normal baseline fetal heart rate range at term?

Answer: 110-160 bpm

A normal FHR baseline at term is 110 to 160 beats per minute.

Early decelerations that mirror contractions are most often caused by what?

Answer: Fetal head compression

Early decelerations are a benign vagal response to compression of the fetal head during contractions.