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NUR 306: Vsim Amelia Sung Pre/Pro-Test Question and answers verified to pass $13.49   Add to cart

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NUR 306: Vsim Amelia Sung Pre/Pro-Test Question and answers verified to pass

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NUR 306: Vsim Amelia Sung Pre/Pro-Test Question and answers verified to pass Shoulder dystocia is a complication of Labor related to which of these factors? - correct answer Prolonged second stage of labor Explanation: Should dystocia occurs when the anterior fetal shoulder gets stuck behin...

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  • November 18, 2024
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NUR 306: Vsim Amelia Sung Pre/Pro-
Test Question and answers verified to
pass
Shoulder dystocia is a complication of Labor related to which of these factors?
- correct answer ✔Prolonged second stage of labor


Explanation: Should dystocia occurs when the anterior fetal shoulder gets
stuck behind the mother's pubic bone. A prolonged second stage of labor is a
factor related to the presence of the shoulder dystocia. Uterine contractions
are usually of adequate strength. The vlume of amniotic fluid and the length of
the active phase of labor are not risk factors for shoulder dystocia


Which of the following pregnancy-related conditions increases increase the
risk for shoulder dystocia? - correct answer ✔Uncontrolled maternal
gestational diabetes


Explanation: Uncontrelled gestational diabetes leads to fetal macrosomia, fat
pads at the fetal neck, and increased maternal weight gain, all factors that
increase the incidence of shoulder dystocia. Preeclampsia and IUGR both
result insmaller infants and thus do not increase the risk of shoulder dystocia.
Hyperemesis, While it can continue throughout the pregnancy, is generally a
problem of the first trimester and not related to the delievery


A patient is admitted to the labor and delievery unit at 40 weeks gestation.
Which of the following pieces of information collected during the patient
interview would be most significant in alerting the nurse to the potential for
shoulder dystocia (SATA) - correct answer ✔Maternal height 5 ft, 3 in
Estimated fetal weight 8 lbs, 13 oz or more
Maternal weight gain greater than 50 lb

, Explanation: Excessive maternal weight gain, short stature of the mother, and
high estimated fetal weigh are risk factors for shoulder dystocia. Ethnicity is a
demographic factor not associated with this condition. Previous delivery is
evidence that she is able to deliver an infant of that size, and an active phase
of labor lasting 4 hours is not a significant finding.


When a shoulder dystocia amergency is anticipated, what additional actions
should be implemented by the nurse (sata) - correct answer ✔Put a step
stool at the bedside
Explain to the patient and family what may happen
Have extra staff available if needed


Explanation: The stool is so the provider can apply suprapubic pressure by
standing directly over the patient. Extra staff is needed to implement the
maneuvers used to deliver the fetal shoulder. Communication to the patient
and the family about what might happen in the delivery room will help to
prepare them and to decrease their anxiety. Removing the family from the
delivery room is not therapeutic response and will further increase their
anxiety. A consent for a ceasarean delivery is not appropriate at this time


The nurse has assessed that the patient is in labor and at risk for shoulder
dystocia. After delivery of the fetal head, the nurse states in a clear, loud
voice, " fetal heart rate 90 bpm with minimal variability" why is it important for
the nurse to communicate this information - correct answer ✔To inform the
provider about the fetal status


Explanation: A call-out is a clear and concise statement of data or an event
that everyone on the health care team needs to know to care for the patient
effectively. Changes int he FHR are not routinely announced in the delivery
room, but in this situation the call-out by the nurse is important to give data to
the provider so the provider can evaluate the fetal status and determine the
next course of action. The patient is focused on pushing out the fetus, so the

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