This is a cause and effect matching game. You have to have the kids match the cause and effect together as well as match it onto the correct stem (which one is the cause and which one is the effect). That way students are practicing their ability to match a cause and effect as well as which one is the cause and which one is the effect.
There are no directions for the game because there are so many different ways to play it! You can play it like a go fish game, where each student in the group has a deck of cards and asks the other student if they have the cause or effect that matches theirs. You can also have them play the game like a memory game-turn all the flowers over, and when they get a match they can grab a stem and put the flowers on the stems. You could also just leave them face up and have the students take turns picking their causes and effects and matching them to stems. It is up to you how you want to play-in small groups, I have played it as a memory game and my kids really enjoy it! It is excellent as a test review as well.