Relias Shoulder Dystocia Exam – Questions with
Correct Answers | Verified Study Guide
1. 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.: • Remaining
calm during the emergency.
• Being deliberate in actions
2. During a vaginal birth, the baby's head emerges, then suddenly retracts back against the mother's
perineum. The healthcare provider 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:
3. Which maternal complications can arise related to a shoulder dystocia delivery?
Select all that apply.
• Fourth-degree laceration
,• Postpartum hemorrhage
, • Uterine rupture
• . Uterine prolapse:
4. 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 malprac- tice in a lawsuit following
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:
5. A healthcare provider 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 healthcare provider be considering the most likely reason that the patien
is having difficulty ambulating?
• Sacral dislocation
• Uterine artery hematoma
• Symphyseal ligament tear
• Femoral nerve damage:
6. Which of the following is an appropriate initial response to a fetal shoulder dystocia?
• Provide increasing downward traction on the fetal head.
Correct Answers | Verified Study Guide
1. 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.: • Remaining
calm during the emergency.
• Being deliberate in actions
2. During a vaginal birth, the baby's head emerges, then suddenly retracts back against the mother's
perineum. The healthcare provider 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:
3. Which maternal complications can arise related to a shoulder dystocia delivery?
Select all that apply.
• Fourth-degree laceration
,• Postpartum hemorrhage
, • Uterine rupture
• . Uterine prolapse:
4. 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 malprac- tice in a lawsuit following
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:
5. A healthcare provider 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 healthcare provider be considering the most likely reason that the patien
is having difficulty ambulating?
• Sacral dislocation
• Uterine artery hematoma
• Symphyseal ligament tear
• Femoral nerve damage:
6. Which of the following is an appropriate initial response to a fetal shoulder dystocia?
• Provide increasing downward traction on the fetal head.
