During the course of the birth process, the physician suspects that a shoulder dystocia is occurring and asks the nurse for assistance. Which priority action should be taken by the nurse in response to this request?
A) Put pressure on the fundus.
B) Ask the physician if he or she would like you to prepare for a surgical method of birth.
C) Tell the client not to push until you prepare vacuum extraction device for physician.
D) Reposition the client to facilitate birth.

Question

Quizplus · Accepted Answer

In the presence of a suspected shoulder dystocia, a surgical birth method is typically indicated to avoid complications from this type of abnormal presentation. Fundal pressure is no longer recommended as a treatment strategy because it can cause additional problems. Vacuum extraction will not help solve this birth issue and may lead to further complications. Repositioning of the client may not be effective to relieve this condition and facilitate birth.

During the Course of the Birth Process, the Physician Suspects