Question 1

Shoulder dystocia occurs when:*

A. Fetal head fails to descend

B. The anterior shoulder is stuck behind the pubic sympysis

C. The fetal is in breech presentation

D. The cervix stops dilating

Question 2

2.The “turtle sign” refers to:*

A. The baby's arm presenting first

B. The baby's head retracting after delivery

C. the head rotating excessively

D. failure of shoulders to enter the pelvis

Question 3

Which is the FIRST recommended maneuver for shoulder dystocia?*

A. Fundal pressure

B. McRoberts maneuver

C. Woods screw maneuver

D. Delivery of posterior arm

Question 4

Which action is CONTRAINDICATED in shoulder dystocia?*

A. suprapubic pressure

B. McRoberts maneuver

C. Fundal pressure

D. Rubin maneuver

Question 5

A major fetal risk factor for shoulder dystocia is:*

A. Oligohydramnios

B. Fetal anemia

C. Macrosomia

D. Intrauterine growth restriction

Question 6

The Woods screw maneuver works by:*

A. Applying downward traction on the fetal head

B. Rotating the shoulders 180 degrees to free them

C. Turning the mother onto her hands and knees

D. Applying pressure on the fundus

Question 7

The most common fetal injury associated with shoulder dystocia is:*

A. Fractured skull

B. Erbo's palsy ( brachial plexus injury)

C. Congenital heart disease

D. Facial nerve palsy

Question 8

A major maternal complication of shoulder dystocia is:*

A. Placenta previa

B. Abruption

C. Postpartum hemorrhage

D. Gestational hypertension

Question 9

Which of the following is a valid internal maneuver for shoulder dystocia?*

A. Leopold maneuver

B. Woods screw maneuver

C. Fetal scalp retraction

D. Piper forceps

Question 10

After managing shoulder dystocia, documentation MUST include:*

A. Baby's Apgar score only

B. Mother's blood pressure only

C. The maneuvers used and head-to- body delivery

D. The name of the attending nurse

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