ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Assist the client in pulling their knees toward their abdomen. In shoulder dystocia, the baby's shoulder is stuck behind the mother's pubic bone. The McRoberts maneuver involves hyperflexing the mother's legs towards her abdomen to enlarge the pelvic outlet, which can help dislodge the shoulder and facilitate delivery. This action can help create more space for the baby to maneuver and be born. Applying pressure to the fundus (
A) does not address the mechanical issue of shoulder dystocia. Pressing on the suprapubic area (
B) may not provide the necessary space for the baby to be delivered. Moving the client onto their hands and knees (
C) may not be as effective as the McRoberts maneuver in this situation.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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