Shoulder Dystocia Simulation

List the 4 fetal complications of shoulder dystocia

-Brachial plexus injury -Fractured clavicle -Hypoxia/ hypoxemia -Anoxic brain injury

What 3 things must be assessed for on baby after a vaginal shoulder dystocia birth is complete? What do any of these things indicate?

-Crepitus of clavicles -Deformity of clavicles -Bruising of clavicular area -Indicate fracture

List the 4 maternal complications of shoulder dystocia

-Episiotomy -Lacerations -Bladder/ rectum damage -Zavanelli's maneuver & C-section

McRoberts maneuver

-Flexion of hips -Suprapubic pressure

3 fetal risk factors for shoulder dystocia

-Macrosomia -Post-term delivery -Slow descent of fetal head

3 maternal risk factors for shoulder dystocia

-Maternal diabetes -Obesity -Hx of shoulder dystocia

After noticing shoulder dystocia, the nurse will intervene in what 2 ways immediately?

-Time delivery of the head (and the delivery of the body later) -Alert peds & NICU

What is shoulder dystocia?

Baby's anterior shoulder stuck under mom's pubic bone

Turtle sign is diagnostic of shoulder dystocia (T/F)

False; only raises suspicion that it may be present

There are often many signs and risk factors of impending shoulder dystocia (T/F)

False; there are often none

Turtle sign

Quick retraction of baby's head against the perineum

What might turtle sign indicate?

Shoulder dystocia