Relias Shoulder Dystocia Exam Questions And
Answers Latest Update
Shoulder dystocia drills should promote which of the following behaviors for team
members?
Select 2 answers.
• Remaining calm during the emergency.
- Using medical terminology to avoid alarming the patient and family.
• Being deliberate in actions.
• Requesting assistance from as few personnel as possible to not stretch staffing. -
✔✔ANSWER✔✔>>• Remaining calm during the emergency.
• Being deliberate in actions
During a vaginal birth, the baby's head emerges, then suddenly retracts back against
the mother's perineum. The nurse recognizes this as the "turtle sign" which indicates:
Select 2 answers.
• Birth is imminent
" The baby's anterior shoulder is caught on the mother's pubic bone
The baby's posterior shoulder is caught on the mother's sacrum
• There is a possible shoulder dystocia - ✔✔ANSWER✔✔>>
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
Answers Latest Update
Shoulder dystocia drills should promote which of the following behaviors for team
members?
Select 2 answers.
• Remaining calm during the emergency.
- Using medical terminology to avoid alarming the patient and family.
• Being deliberate in actions.
• Requesting assistance from as few personnel as possible to not stretch staffing. -
✔✔ANSWER✔✔>>• Remaining calm during the emergency.
• Being deliberate in actions
During a vaginal birth, the baby's head emerges, then suddenly retracts back against
the mother's perineum. The nurse recognizes this as the "turtle sign" which indicates:
Select 2 answers.
• Birth is imminent
" The baby's anterior shoulder is caught on the mother's pubic bone
The baby's posterior shoulder is caught on the mother's sacrum
• There is a possible shoulder dystocia - ✔✔ANSWER✔✔>>
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
