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VSIM Amelia Sung (CORE) questions with correct answers
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VSIM Amelia Sung (CORE)Study online at https://quizlet.com/_g2tek1
1. A patient is admitted to the labor and delivery unit A&B
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. Shoulder dystocia is a complication of labor related to C
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. In a patient with shoulder dystocia, which of the fol- D&E
lowing 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. At what point during a pregnancy does shoulder dys- A
tocia become evident?
A) Active phase of labor
B) Third Trimester
C) Onset of labor
D)First trimester
5. When a shoulder dystocia emergency is declared in D
the delivery room, on what should the primary inter-
ventions focus?
A) Using instruments to rapidly deliver the fetus
B) Relaxing the uterine muscle
1/5
, VSIM Amelia Sung (CORE)
Study online at https://quizlet.com/_g2tek1
C) Strengthening the power of the uterine contrac-
tions
D) Manipulating the passenger
6. When an emergency situation develops while every- D
one 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
7. When the fetal shoulders fail to deliver spontaneously, C
who is at risk?
A) Only the mother
B) Only the fetus
C) Mother and fetus
D) Neither the mother nor the fetus
8. After the baby's head is delivered, the nurse observes C
that it retracts tightly against the mother's perineal
floor. The nurse knows that the term for this observa-
tion is which of the following?
A) Chandler's sign
B) Wood's screw maneuver
C) Positive turtle signs
D) McRobert's maneuver
9. Which of the following risk factors for shoulder dys- A & E
tocia are present in Ms. Sung's history and assess-
ment? (SATA)
A) Short maternal stature
B) Breech position
C) Low maternal body mass index BMI
D) Aligohydramnios
E) Excessive maternal weight gain.
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