I'm not sure which cartridge she used to cut the hands, but I know there are hands like these on many, if not all, of the Disney cartridges. I have the Mickey & Friends cartridge and I've seen similar hands there.
She hand cut the eyebrows, drew on the smiles and stamped with "m." A little shading and some tiny buttons for embellishment finished them off. So cute, and I bet her granddaughters loved them! I'm really glad she let me share them here on my blog.
Thanks so much for stopping by, and remember to laugh--a little or a lot--every day.