VSIM Amelia Sung (CORE) UPDATED ACTUAL Questions and CORRECT ANSWERS
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VSIM Amelia Sung
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VSIM Amelia Sung
VSIM Amelia Sung (CORE) UPDATED
ACTUAL Questions and CORRECT
ANSWERS
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)
...
VSIM Amelia Sung (CORE) UPDATED
ACTUAL Questions and CORRECT
ANSWERS
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
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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER- ✔✔C
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