Shoulder Dystocia: Stepwise Management

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Stepwise management guide

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SNEHA MURUGESAN

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Froggy Jumps Shoulder Dystocia: Stepwise ManagementVersión en línea Stepwise management guide por SNEHA MURUGESAN 1 What is the first step in shoulder dystocia management? a Apply fundal pressure. b Call for help and perform McRoberts maneuver. c Immediate cesarean delivery. 2 What does the McRoberts maneuver entail? a Hyperextending the legs. b Applying fundal pressure. c Maternal hips flexed with thighs flexed against the abdomen. 3 What is the purpose of suprapubic pressure? a Measure fetal heart rate. b Cause contractions to intensify. c Dislodge the anterior shoulder. 4 After McRoberts and suprapubic pressure, what is a common next step? a Deliver the posterior arm. b Perform an episiotomy only. c Apply fundal pressure. 5 When is the Wood’s screw maneuver used? a To apply fundal pressure. b To rotate the anterior shoulder in the pelvis. c To perform cesarean delivery. 6 What is the Zavanelli procedure? a Cephalic replacement followed by cesarean delivery. b Perform immediate episiotomy only. c Deliver the baby with forceps. 7 What does the Rubin II maneuver involve? a Apply fundal pressure. b Applying pressure to the posterior aspect to rotate the shoulder. c Hyperventilate the mother. 8 What is the role of an episiotomy in shoulder dystocia? a Deliver the head immediately. b Stop bleeding in the uterus. c Enlarge the vaginal outlet if needed. 9 How long should clinicians attempt maneuvers before escalating? a After 5 minutes only. b If unresolved after about 60 seconds, escalate. c No time limit for escalation. 10 What should be included in post-delivery management? a Ignore neonatal status. b Check neonatal status and monitor uterine tone. c Stop monitoring after birth.

Froggy Jumps

Shoulder Dystocia: Stepwise ManagementVersión en línea

Stepwise management guide

por SNEHA MURUGESAN

What is the first step in shoulder dystocia management?

Apply fundal pressure.

Call for help and perform McRoberts maneuver.

Immediate cesarean delivery.

What does the McRoberts maneuver entail?

Hyperextending the legs.

Applying fundal pressure.

Maternal hips flexed with thighs flexed against the abdomen.

What is the purpose of suprapubic pressure?

Measure fetal heart rate.

Cause contractions to intensify.

Dislodge the anterior shoulder.

After McRoberts and suprapubic pressure, what is a common next step?

Deliver the posterior arm.

Perform an episiotomy only.

Apply fundal pressure.

When is the Wood’s screw maneuver used?

To apply fundal pressure.

To rotate the anterior shoulder in the pelvis.

To perform cesarean delivery.

What is the Zavanelli procedure?

Cephalic replacement followed by cesarean delivery.

Perform immediate episiotomy only.

Deliver the baby with forceps.

What does the Rubin II maneuver involve?

Apply fundal pressure.

Applying pressure to the posterior aspect to rotate the shoulder.

Hyperventilate the mother.

What is the role of an episiotomy in shoulder dystocia?

Deliver the head immediately.

Stop bleeding in the uterus.

Enlarge the vaginal outlet if needed.

How long should clinicians attempt maneuvers before escalating?

After 5 minutes only.

If unresolved after about 60 seconds, escalate.

No time limit for escalation.

What should be included in post-delivery management?

Ignore neonatal status.

Check neonatal status and monitor uterine tone.

Stop monitoring after birth.

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Shoulder Dystocia: Stepwise Management

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Shoulder Dystocia: Stepwise ManagementVersión en línea

por SNEHA MURUGESAN

What is the first step in shoulder dystocia management?

What does the McRoberts maneuver entail?

What is the purpose of suprapubic pressure?

After McRoberts and suprapubic pressure, what is a common next step?

When is the Wood’s screw maneuver used?

What is the Zavanelli procedure?

What does the Rubin II maneuver involve?

What is the role of an episiotomy in shoulder dystocia?

How long should clinicians attempt maneuvers before escalating?

What should be included in post-delivery management?

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