Author Question: If the physician indicates a shoulder dystocia during the delivery of a macrosomic fetus, the nurse ... (Read 59 times)

karen · **on:** Jun 27, 2018

If the physician indicates a shoulder dystocia during the delivery of a macrosomic fetus, the nurse would assist by:

1. Calling a second physician to assist.
2. Preparing for an immediate cesarean delivery.
3. Assisting the woman into McRoberts maneuver.
4. Utilizing fundal pressure to push the fetus out.

Question 2

The nurse evaluates the diet of a pregnant patient and finds that it is low in zinc. The nurse knows that zinc intake should increase during pregnancy to promote protein metabolism.

Which food should the nurse suggest in order to increase intake of zinc? 1. Shellfish
2. Bananas
3. Yogurt
4. Cabbage

Chou · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
Rationale 1: The vaginal delivery of a macrosomic fetus does not require a second physician.
Rationale 2: Although a cesarean might be necessary, it would not be an immediate need.
Rationale 3: The sharp flexion of the thighs toward the hips and abdomen during McRoberts maneuver changes the angle available for the fetus to come under the pubic arch and be delivered.
Rationale 4: Fundal pressure is never utilized, because it only pushes the fetus against whatever it is stuck on and does nothing to assist the delivery.

Answer to Question 2

1
Rationale 1: Zinc is found in greatest concentration in meats, shellfish, and poultry. Good sources include whole grains and legumes.
Rationale 2: Bananas are high in other nutrients, but do not have significant levels of zinc.
Rationale 3: Yogurt is high in other nutrients, but does not have significant levels of zinc.
Rationale 4: Cabbage is high in other nutrients, but does not have significant levels of zinc.