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Amelia Sung (Core): vSim Post-Quiz Updated 2024 Questions with Answer Keys 100% Correct
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Amelia Sung (Core): vSim Post-Quiz Updated 2024 Questions with Answer Keys 100% Correct
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Amelia Sung (Core): vSim Post-QuizUpdated 2024 Questions with Answer
Keys 100% Correct
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) - ANSWER-
A&B
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 - ANSWER-C
,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 - ANSWER-D&E
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 - ANSWER-A
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 - ANSWER-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 -
ANSWER-D
When the fetal shoulders fail to deliver spontaneously,
who is at risk?
A) Only the mother
B) Only the fetus
C) Mother and fetus
D) Neither the mother nor the fetus - ANSWER-C
After the baby's head is delivered, the nurse observes that
it retracts tightly against the mother's perineal floor. The
nurse knows that the term for this observation is which of
the following?
A) Chandler's sign
B) Wood's screw maneuver
C) Positive turtle signs
D) McRobert's maneuver - ANSWER-C
, Which of the following risk factors for shoulder dystocia
are present in Ms. Sung's history and assessment?
(SATA)
A) Short maternal stature
B) Breech position
C) Low maternal body mass index BMI
D) Aligohydramnios
E) Excessive maternal weight gain. - ANSWER-A & E
Ms. Sung's family asks what can be done to prevent the
baby from getting "stuck" like the last baby. Which of the
following is the best response from the nurse?
A) There is nothing we can do to prevent it. We just have
to wait and see what happens.
B) Shoulder dystocia is preventable if the fetus is rotated
to an occiput anterior position prior to the 36th week
gestation.
C) Identification of the patient's history of shoulder
dystocia will allow time for a fetal version and will
improve maternal and fetal outcomes.
D) While we cannot prevent shoulder dystocia, we will
monitor both mother and fetus and have everything ready
if we need to intervene. - ANSWER-D
Ms. Sung's sister asks why there is a step stool in the
room. What would be the best response by the nurse?
A) We keep a step stool in all the rooms, just in case it is
needed for something.
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