Shoulder Dystocia

What part of the baby does a shoulder dystocia usually involve?

• anterior shoulder

• posterior shoulder

• head

• chest

What percentage of shoulder dystocia are not predicted?

• 30%

• 40%

• 50%

• 60%

Which of the following are risk factors for shoulder dystocia?

• Raised BMI

• Diabetes

• Previous shoulder dystocia

• Fast labour

Which of the following are warning signs of shoulder dystocia?

• Long 1st stage of labour

• Long 2nd stage of labour

• 'Turtle neck' sign

• More painful labour

Fill in the blank: The most effective manoeuvre to resolve shoulder dystocia is (a)  

McRoberts manoeuvre resolves what percentage of shoulder dystocia?

• 50%

• 80%

• 90%

• 100%

Suprapubic pressure is given over what part of the baby?

• posterior aspect of the anterior arm

• anterior aspect of the anterior arm

• anterior aspect of the posterior arm

• posterior aspect of the posterior arm

If McRoberts and suprapubic pressure is ineffective you can get the woman into what position?

(a)  

What is the most common injury to the baby following a shoulder dystocia?

• death

• Hypoxic Ischaemic Brain Injury

• Humerus & Clavicle Fractures

• Brachial Plexus Injury

When documenting the birth it is important to document which of the following?

• Time the head was born

• Which shoulder was anterior

• Who was present

• What manoeuvres were performed and when