Difficulty: Medium
Average Score: 64%
Simulated
Passage / Scenario
A 28-year-old G2P1 at 39 weeks, gestational diabetes, insulin-dependent, 10 cm dilated, +1 station, pushing, FHR 130s, variable decelerations, turtle sign at crowning.What condition, actions, and parameters apply?
Correct answer
A
Rationale
Shoulder dystocia (A) is indicated by turtle sign. Actions: McRoberts maneuver, suprapubic pressure. Parameters: maternal perineum for tears, FHR for distress. Malpresentation (B), subinvolution (C), and perineal tear (D) are incorrect.