NUR 306: Vsim Amelia Sung All Questions and Answers
Complete
Shoulder dystocia is a complication of Labor related to which of these factors?
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?
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)
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)
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
Complete
Shoulder dystocia is a complication of Labor related to which of these factors?
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?
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)
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)
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
