Difficulty: Medium
Average Score: 87%
Simulated
Passage / Scenario
A nurse is caring for a client who is in the second stage of labor. The nurse observes retraction of the fetal head against the maternal perineum as the head is birthed.Which condition is the client most likely experiencing?
Correct answer
A
Rationale
The client is most likely experiencing shoulder dystocia. This is because shoulder dystocia occurs when the baby's shoulder gets stuck during delivery, which can lead to complications such as fetal distress and difficulty delivering the baby. Breech presentation, placenta previa, and uterine rupture are different conditions that do not involve the baby's shoulder being stuck. In breech presentation, the baby is positioned feet or buttocks first. Placenta previa is when the placenta partially or completely covers the cervix. Uterine rupture is a tear in the uterus. Each of these conditions presents with distinct symptoms and risks, none of which involve the baby's shoulder being stuck during delivery.