NUR 306: Vsim Amelia Sung Pre/Pro-Test Exam 2023 QUESTIONS AND ANSWERS (100% CORRECT) GRADED A

Shoulder dystocia is a complication of Labor related to which of these factors? - CORRECT ANS Prolonged second stage of labor or Position of the passenger 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 volume 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? - CORRECT ANS 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) - CORRECT ANS Maternal height 5 ft, 3 in Previous birth history Estimated fetal weight 8 lbs, 13 oz or more Maternal weight gain greater than 50 lb