AMELIA SUNG VSIM ACTIVE LABOUR EXAM
SCRIPT 2026 FULL QUESTIONS WITH
CORRECT ANSWERS
◉ Which of the following pregnancy-related conditions increases
increase the risk for shoulder dystocia? 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) 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)
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
Answer: To inform the provider about the fetal status
SCRIPT 2026 FULL QUESTIONS WITH
CORRECT ANSWERS
◉ Which of the following pregnancy-related conditions increases
increase the risk for shoulder dystocia? 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) 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)
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
Answer: To inform the provider about the fetal status
