While caring for a labor client, the nurse determines during a vaginal exam that the baby's head has internally rotated. This information is given to the family

Question

The labor support person asks the nurse, "What other position changes will the baby undertake during labor and birth?" How should the nurse describe the rest of the cardinal movements for a baby in a vertex presentation? 1. Flexion, extension, restitution, external rotation, and expulsion
2. Expulsion, external rotation, and restitution
3. Restitution, flexion, external rotation, and expulsion
4. Extension, restitution, external rotation, and expulsion

Answer 1

4
Rationale:
1. The fetus changes position in the following order: descent, engagement, flexion, internal rotation, extension, restitution, external rotation, expulsion.
2. The fetus changes position in the following order: descent, engagement, flexion, internal rotation, extension, restitution, external rotation, expulsion.
3. The fetus changes position in the following order: descent, engagement, flexion, internal rotation, extension, restitution, external rotation, expulsion.
4. The fetus changes position in the following order: descent, engagement, flexion, internal rotation, extension, restitution, external rotation, expulsion.