Practice Question
A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Assist the client in pulling their knees toward their abdomen
Rationale:
✅ The McRoberts maneuver is the first-line intervention for shoulder dystocia, a delivery emergency where the fetal shoulder is impacted behind the maternal pubic bone.
✅ It involves hyperflexing the mother’s hips by helping her pull her knees tightly toward her abdomen, which rotates the pelvis, flattens the sacrum, and widens the pelvic outlet to facilitate birth.
✅ This position is simple, noninvasive, and often highly effective when combined with suprapubic pressure (if needed).
❌ Hands-and-knees positioning (Gaskin maneuver) is another maneuver but is not McRoberts.
❌ Fundal pressure is contraindicated in shoulder dystocia as it may worsen impaction or cause fetal injury.
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This question is from RN Maternal Newborn 2023 which contains 62 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: 🤱🏼Maternity & Newborn Care
- Answer Choices: 4