When the physician indicates a shoulder dystocia during the ...

[awywial]

When 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 McRobert's maneuver.
  4. Utilizing fundal pressure to push the fetus out.

Question 2

Following reproductive-tract surgery, assessment of urinary status is important because the
 
  A) ureters pass just behind the uterine arteries.
  B) ureters pass in front of the uterus.
  C) bladder is supplied by the uterine arteries.
  D) bladder and the cervix surfaces touch.

[wergv]

Answer to Question 1

3
Rationale:
1. The vaginal delivery of a macrosomic fetus does not require a second physician.
2. Although a cesarean might be necessary, it would not be an immediate need.
3. The sharp flexion of the thighs toward the hips and abdomen during McRobert's maneuver minimizes the space available for the fetus to come under the pubic arch and be delivered.
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

A