Maternity Nursing Q 29

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When delivering the baby’s head the nurse supports the mother’s perineum to prevent a tear. This technique is called

  

     A. Marmet’s technique

     B. Ritgen’s technique

     C. Duncan maneuver

     D. Schultze maneuver

    

    

Correct Answer: B. Ritgen’s technique

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Ritgen’s technique is done to prevent the perineal tear. This is done by the nurse by supporting the perineum with a sterile towel and pushing the perineum downward with one hand while the other hand is supporting the baby’s head as it goes out of the vaginal opening.

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Option A: Developed by a mother who needed to express her milk over a long period of time for medical reasons, the Marmet technique mimics the actions of a breastfeeding baby and is the most recommended method of expressing breastmilk by hand.

Option C: Duncan’s mechanism is the expulsion of the placenta with the presentation of the maternal rough side first, rather than the usual fetal side of the placenta.

Option D: There are 2 mechanisms possible during the delivery of the placenta. If the shiny portion comes out first, it is called the Schultze mechanism; while if the meaty portion comes out first, it is called the Duncan mechanism.

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