AMELIA SUNG VSIM ACTIVE LABOUR
COMPREHENSIVE TEST 2026 STUDY GUIDE
SOLVED QUESTIONS
◉ 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
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 information is
not for her benefit. The nurse's interpretation of the routine fetal
activity is documented in the patient's chart, not verbally
◉ What is a positive turtle sign Answer: The fetal head emerges and
then retracts tightly against the perineal floor
Explanation: A positive turtle sign is when the head delivers and that
is retracted back and rests firmly against the perineum
, ◉ What is the first action by the nurse to assist with the delivery of
the fetal shoulders and body when there is a shoulder dystocia
Answer: Flex the mother's thighs towards her abdomen
Explanation: Flexing the legs toward the abdomen allows the pelvis
to open to its maximum dimension. This position is used prior to
application of the suprapublic pressure
◉ The nurse documents the following events: crowning at 0749,
fetal head emerged at 0800, Mc Robert's maneuver performed at
0802, Suprapubic pressure at 0806, and fetal body delivered at
0808. What is the significance of the documenting these events?
Answer: Provides an indicator of the potential for fetal compromise
Explanation: Documenting this sequence of events provides and
indicator of the potential for fetal compromise related to decrease
oxygenation.
◉ Which of the following are common fetal or neonatal injuries seen
after shoulder dystocia (sata) Answer: Erb's Palsy
Fractured clavicle
Asphyxia
COMPREHENSIVE TEST 2026 STUDY GUIDE
SOLVED QUESTIONS
◉ 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
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 information is
not for her benefit. The nurse's interpretation of the routine fetal
activity is documented in the patient's chart, not verbally
◉ What is a positive turtle sign Answer: The fetal head emerges and
then retracts tightly against the perineal floor
Explanation: A positive turtle sign is when the head delivers and that
is retracted back and rests firmly against the perineum
, ◉ What is the first action by the nurse to assist with the delivery of
the fetal shoulders and body when there is a shoulder dystocia
Answer: Flex the mother's thighs towards her abdomen
Explanation: Flexing the legs toward the abdomen allows the pelvis
to open to its maximum dimension. This position is used prior to
application of the suprapublic pressure
◉ The nurse documents the following events: crowning at 0749,
fetal head emerged at 0800, Mc Robert's maneuver performed at
0802, Suprapubic pressure at 0806, and fetal body delivered at
0808. What is the significance of the documenting these events?
Answer: Provides an indicator of the potential for fetal compromise
Explanation: Documenting this sequence of events provides and
indicator of the potential for fetal compromise related to decrease
oxygenation.
◉ Which of the following are common fetal or neonatal injuries seen
after shoulder dystocia (sata) Answer: Erb's Palsy
Fractured clavicle
Asphyxia
