Relias Shoulder Dystocia Correct Answers Latest Update 2025

Relias Shoulder Dystocia Correct Answers Latest Update 2025 Which maternal complications can arise related to a shoulder dystocia delivery? Select all that apply. • Fourth-degree laceration • Postpartum hemorrhage • Uterine rupture • . Uterine prolapse - ANSWER - Why is careful, comprehensive, and precise documentation following a shoulder dystocia delivery important? Select all that apply. © The medical records department may audit your chart. © This documentation will be key in the defense against charges of malpractice in a lawsuit following a neonatal injury. © A well-written note following a shoulder dystocia delivery can demonstrate expertise in handling a shoulder dystocia delivery. Accurate notes describing all aspects of a shoulder dystocia delivery can be useful in learning more about handling future shoulder dystocia deliveries - ANSWER - A nurse is assisting a patient in getting up to the bathroom for the first time after a birth complicated by shoulder dystocia. The patient cries out due to pain from the front and back of the pelvis and states she cannot walk. What maternal injury related to shoulder dystopia should the nurse be considering the most likely reason that the patient is having difficulty ambulating? • Sacral dislocation • Uterine artery hematoma • Symphyseal ligament tear • Femoral nerve damage - ANSWER - Which of the following is an appropriate initial response to a fetal shoulder dystocia? • Provide increasing downward traction on the fetal head. • Second attempt at shoulder delivery while having mother push. • Apply fundal pressure with an attempt at shoulder delivery. - Communicate to staff and patient of the presence of shoulder dystocia. - ANSWER - Communicate to staff and patient of the presence of shoulder dystocia. Which of the following are goals for debriefing? Select 3 • Evaluate team performance • Determine fault if injury occurs - Discuss safety concerns • . Identify areas for improvement - ANSWER - According to the American College of Obstetricians and Gynecologists, a planned cesarean birth may be offered to a mother with diabetes and an estimated fetal weight of: • >4000 g (8 lb 8 oz) • >4500 g (9 lb 9 oz) O >5000 g (11 lb) O >4300 g (9 lb 4 oz) - ANSWER -• >4500 g (9 lb 9 oz) Which of the following terms best describes abdominal rescue for reducing a shoulder dystocia? • Primary maneuvers • Secondary maneuvers • Last resort maneuvers • Frequently performed - ANSWER -Last resort maneuvers Following a shoulder dystocia birth, the nurse is preparing to chart the sequence of events during the delivery. In order to be congruent with the physician, the nurse should perform which action? • Gather the care team for a debrief session as soon as possible. • Ask the physician what he wrote and copy it. © Chart exactly what she remembers of the event. Do not chart alshoulder dystocia unless there is an adverse event with the newborn or mother. - ANSWER -• Gather the care team for a debrief session as soon as possible. Two of the most common causes of obstetric hemorrhage following a shoulder dystocia delivery are: select 2 • Disseminated intravescular coagulation • Placental retention " Uterine atony 1 Vaginal and perineal lacerations - ANSWER -" Uterine atony 1 Vaginal and perineal lacerations Question 12 of 60 A mother undergoes a labor induction for gestational diabetes at 39 weeks' gestation. A newly graduated nurse and preceptor nurse attend the birth, which is complicated by shoulder dystocia. The shoulders were stuck for over a minute. The infant emerged crying and vigorous. The infant is now skin-to-skin with the mother. The preceptor and new nurse are debriefing when the new nurse says, "I feel like I am going to cry. The baby's arm is bruised but moving. Did we hurt her? I feel so bad." Which statement should the preceptor say to the new nurse to help the nurse not feel at fault? • "It is devastating, to say the least. We must make sure your charting is correct so you do not get called in for litigation." • "I understand how scary a shoulder dystocia is. The pediatrician will evaluate the arm, but she appears otherwise healthy." O "It's okay - this happens a lot. It's something to be ready for a - ANSWER - If the infant is born without crying or movement after a shoulder dystocia, the resuscitation team should do which of the following first? Select an ANSWER. Question 13 of 60 If the infant is born without crying or movement after a shoulder dystocia, the resuscitation team shoul following first? Select an ANSWER. • Go to the mother's abdomen to prepare for resuscitation because the cord should not be clamped right away. • Have the operator bring the infant straight to the warmer for resuscitation. O The operator should suction the infant at the perineum when noting a shoulder dystocia is present. • Administer O, to the infant on the mother's abdomen before 30 seconds of life. - ANSWER -• Go to the mother's abdomen to prepare for resuscitation because the cord should not be clamped right away. Two relevant relationships between multiparity and shoulder dystocia are: Select 2: Multiparous women are usually older, have had more time to become obese, and thus often have larger babies. © The multiparous uterus is less effective in pushing out a baby's body after delivery of the head. Multiparous women are more likely to have rapid labors; thus, there is less chance for shoulder dystocia. On average, subsequent babies tend to be bigger than the preceding ones; thus, larger babies of multiparous women are more likely to have a shoul dystocia. - ANSWER - Question 15 of 60