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

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McRobert's maneuver is a technique used to reduce shoulder dystocia. It involves flexing the mother's thighs tightly onto her abdomen, which increases the pelvic outlet dimension and typically allows the baby's anterior shoulder to slide out from behind the pubic symphysis. Calling a second physician to assist may be helpful, but McRobert's maneuver should be attempted first. Preparing for an immediate cesarean delivery may not be necessary if the shoulder dystocia can be resolved with McRobert's maneuver. Utilizing fundal pressure to push the fetus out may worsen the shoulder dystocia and should not be done.

When the Physician Indicates a Shoulder Dystocia During the Delivery