EMERGENCY & COMPLICATION/ POST-TERM, PRECIPITOUS, & UTERINE DYSFUNC./ PLACENTAL & CORD PATHO/ MEMBRANE RUPTURE & PRETERM LABOR/ PRE-LABOR INTERVENT.: EXTERNAL CEPHALIC VERS./ INDUCT. OF LABOR, CERVICAL RIPEN./ INTRAPART MECH DELIV/ C-SECT ALL ANSWERS 100%

EMERGENCY & COMPLICATION/ POST-TERM,
PRECIPITOUS, & UTERINE DYSFUNC./ PLACENTAL &
CORD PATHO/ MEMBRANE RUPTURE & PRETERM
LABOR/ PRE-LABOR INTERVENT.: EXTERNAL CEPHALIC
VERS./ INDUCT. OF LABOR, CERVICAL RIPEN./
INTRAPART MECH DELIV/ C-SECT ALL ANSWERS 100%
CORRECT BEST GRADED A+ FOR SUCCESS

Obstetric Emergencies & Complications: What is the underlying
physical mechanism of a shoulder dystocia?
The fetal head delivers, but the anterior shoulder becomes
structurally impacted behind the maternal pubic symphysis
bone.
Obstetric Emergencies & Complications: What is the hallmark
visual sign of a shoulder dystocia?
The "Turtle Sign" — the fetal head emerges during a contraction
but immediately pulls straight back tightly against the
perineum.
Obstetric Emergencies & Complications: What two physical
maneuvers must the nurse execute to resolve a shoulder
dystocia?
1. McRoberts Maneuver (flex maternal thighs sharply back to
abdomen) 2. Suprapubic Pressure (push downward/laterally
above the pubic bone)

,EMERGENCY & COMPLICATION/ POST-TERM,
PRECIPITOUS, & UTERINE DYSFUNC./ PLACENTAL &
CORD PATHO/ MEMBRANE RUPTURE & PRETERM
LABOR/ PRE-LABOR INTERVENT.: EXTERNAL CEPHALIC
VERS./ INDUCT. OF LABOR, CERVICAL RIPEN./
INTRAPART MECH DELIV/ C-SECT ALL ANSWERS 100%
CORRECT BEST GRADED A+ FOR SUCCESS

Obstetric Emergencies & Complications: What nursing action is
strictly forbidden during a shoulder dystocia emergency?
Applying fundal pressure (this further wedges the shoulder
behind the pelvic bone).
Obstetric Emergencies & Complications: Why does an
emergency episiotomy fail to resolve a shoulder dystocia?
It is a bone-on-bone blockage, not a soft-tissue restriction.
Obstetric Emergencies & Complications: What is the primary
physiological threat to the fetus during a cord prolapse?
The cord slips down ahead of the presenting part, causing direct
compression that cuts off the fetal oxygen supply.
Obstetric Emergencies & Complications: What is the immediate,
manual nursing intervention for a cord prolapse?
Insert a sterile, gloved hand into the vagina and apply constant
upward pressure on the fetal presenting part to hold it off the
cord.

, EMERGENCY & COMPLICATION/ POST-TERM,
PRECIPITOUS, & UTERINE DYSFUNC./ PLACENTAL &
CORD PATHO/ MEMBRANE RUPTURE & PRETERM
LABOR/ PRE-LABOR INTERVENT.: EXTERNAL CEPHALIC
VERS./ INDUCT. OF LABOR, CERVICAL RIPEN./
INTRAPART MECH DELIV/ C-SECT ALL ANSWERS 100%
CORRECT BEST GRADED A+ FOR SUCCESS

Obstetric Emergencies & Complications: When can the nurse
safely remove their hand during a cord prolapse emergency?
Only after the baby is delivered via emergency cesarean
section.
Obstetric Emergencies & Complications: What maternal
positions should be used to relieve cord pressure via gravity?
Knee-chest or Trendelenburg position.
Obstetric Emergencies & Complications: What is the underlying
physiology of an Amniotomy/ROM triggering a cord prolapse?
Performing an amniotomy when the fetus is not fully engaged
in the pelvis allows the fluid rush to carry the cord down.
Obstetric Emergencies & Complications: What is the underlying
cause of an Amniotic Fluid Embolism (AFE)?
Amniotic fluid enters maternal circulation and travels to the
lungs, triggering a profound, catastrophic
anaphylactoid/inflammatory response.