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