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Relias Shoulder Dystocia Correct Answers Latest Update
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Relias Shoulder Dystocia CorrectAnswers Latest Update
Shoulder dystocia drills should promote which of the following
behaviors for team members?
Select 2 answers.
• Remaining calm during the emergency.
© Using medical terminology to avoid alarming the patient and
family.
• Being deliberate in actions.
• Requesting assistance from as few personnel as possible to
not stretch staffing. - ANS>
During a vaginal birth, the baby's head emerges, then suddenly
retracts back against the mother's perineum. The nurse
recognizes this as the "turtle sign" which indicates:
Select 2 answers.
• Birth is imminent
" The baby's anterior shoulder is caught on the mother's pubic
bone
The baby's posterior shoulder is caught on the mother's sacrum
,• There is a possible shoulder dystocia - ANS>
Which maternal complications can arise related to a shoulder
dystocia delivery?
Which maternal complications can arise related to a shoulder
dystocia delivery?
Select all that apply.
• Fourth-degree laceration
• Postpartum hemorrhage
• Uterine rupture
• . Uterine prolapse - ANS>
Why is careful, comprehensive, and precise documentation
following a shoulder dystocia delivery important?
Select all that apply.
© The medical records department may audit your chart.
© This documentation will be key in the defense against
charges of malpractice in a lawsuit following a neonatal injury.
© A well-written note following a shoulder dystocia delivery can
demonstrate expertise in handling a shoulder dystocia delivery.
,Accurate notes describing all aspects of a shoulder dystocia
delivery can be useful in learning more about handling future
shoulder dystocia deliveries - ANS>
A nurse is assisting a patient in getting up to the bathroom for
the first time after a birth complicated by shoulder dystocia.
The patient cries out due to pain from the front and back of the
pelvis and states she cannot walk. What maternal injury related
to shoulder dystopia should the nurse be considering the most
likely reason that the patient is having difficulty ambulating?
• Sacral dislocation
• Uterine artery hematoma
• Symphyseal ligament tear
• Femoral nerve damage - ANS>
Which of the following is an appropriate initial response to a
fetal shoulder dystocia?
• Provide increasing downward traction on the fetal head.
• Second attempt at shoulder delivery while having mother
push.
, • Apply fundal pressure with an attempt at shoulder delivery.
Communicate to staff and patient of the presence of shoulder
dystocia. - ANS>
Which of the following are goals for debriefing?
Select 3
• Evaluate team performance
• Determine fault if injury occurs
Discuss safety concerns
• . Identify areas for improvement - ANS>
According to the American College of Obstetricians and
Gynecologists, a planned cesarean birth may be offered to a
mother with diabetes and an estimated fetal weight of:
• >4000 g (8 lb 8 oz)
• >4500 g (9 lb 9 oz)
O >5000 g (11 lb)
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