VSIM Amelia Sung (CORE)
1. A&B: A patient is admitted to the labor and delivery unit at 40 weeks gestation. Which
information collected during the patient interview would most significantly alert the
nurse to the potential for shoulder dystocia? (SATA)
A) Maternal weight gain 50 lb (23 kg)
B) Previous birth history.
C) Ethinicity
D) Estimated fetal weight 8 lb (3,630 g)
2. C: Shoulder dystocia is a complication of labor related to which of these factors?
A) Strength of the uterine contractions.
B) Length of the active phase of labor
C) Position of the passenger
D) Psyche of the patient
3. D&E: In a patient with shoulder dystocia, which of the following maternal positions
would be used to free the shoulders and complete the delivery of the fetus? (SATA)
A) Lateral Sims
B) Supine
C) Semi-Fowler's
D) Squatting
E) Hand-and-knees
4. A: At what point during a pregnancy does shoulder dystocia become evident?
A) Active phase of labor
B) Third Trimester
C) Onset of labor
D) First trimester
5. D: When a shoulder dystocia emergency is declared in the delivery room, on what should
the primary interventions focus?
A) Using instruments to rapidly deliver the fetus
B) Relaxing the uterine muscle
C) Strengthening the power of the uterine contractions
D) Manipulating the passenger
6. D: When an emergency situation develops while everyone is preparing for the baby to
be born, how should the nurse communicate to the patient and her family?
A) Ask the patient and family to be quiet and let the team do its work.
B) Instruct the family to leave the room so the medical team can do its job.
C) Tell the patient the baby is stuck in her pelvis and that an emergency C-section will be
done immediately
D) Provide a brief and direct explanation of what is happening and what the health care
team is doing
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1. A&B: A patient is admitted to the labor and delivery unit at 40 weeks gestation. Which
information collected during the patient interview would most significantly alert the
nurse to the potential for shoulder dystocia? (SATA)
A) Maternal weight gain 50 lb (23 kg)
B) Previous birth history.
C) Ethinicity
D) Estimated fetal weight 8 lb (3,630 g)
2. C: Shoulder dystocia is a complication of labor related to which of these factors?
A) Strength of the uterine contractions.
B) Length of the active phase of labor
C) Position of the passenger
D) Psyche of the patient
3. D&E: In a patient with shoulder dystocia, which of the following maternal positions
would be used to free the shoulders and complete the delivery of the fetus? (SATA)
A) Lateral Sims
B) Supine
C) Semi-Fowler's
D) Squatting
E) Hand-and-knees
4. A: At what point during a pregnancy does shoulder dystocia become evident?
A) Active phase of labor
B) Third Trimester
C) Onset of labor
D) First trimester
5. D: When a shoulder dystocia emergency is declared in the delivery room, on what should
the primary interventions focus?
A) Using instruments to rapidly deliver the fetus
B) Relaxing the uterine muscle
C) Strengthening the power of the uterine contractions
D) Manipulating the passenger
6. D: When an emergency situation develops while everyone is preparing for the baby to
be born, how should the nurse communicate to the patient and her family?
A) Ask the patient and family to be quiet and let the team do its work.
B) Instruct the family to leave the room so the medical team can do its job.
C) Tell the patient the baby is stuck in her pelvis and that an emergency C-section will be
done immediately
D) Provide a brief and direct explanation of what is happening and what the health care
team is doing
1/4
