A nurse is caring for a client in the second stage of labor who is experiencing shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver.
What action should the nurse take?

Press firmly on the client’s suprapubic area.

Assist the client in pulling their knees toward their abdomen.

Apply pressure to the client’s fundus.

Move the client onto their hands and knees.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Applying firm pressure on the client’s suprapubic area is not part of the McRoberts maneuver. This action is more associated with the suprapubic pressure technique, which is another method used to manage shoulder dystocia.
Choice B rationale
The McRoberts maneuver involves having the client flex her hips against her abdomen. This is achieved by assisting the client in pulling her knees toward her abdomen.
Choice C rationale
Applying pressure to the client’s fundus is not part of the McRoberts maneuver and can be contraindicated as it may cause additional complications.

Choice D rationale
Moving the client onto their hands and knees is not part of the McRoberts maneuver. This position is more associated with the all-fours maneuver, also known as the Gaskin maneuver.

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Correct Answer is B

Explanation

Choice A rationale
A hematocrit level of 37% is within the normal range for a pregnant woman, which is 33% to 46%. Therefore, this result does not need to be reported to the provider.
Choice B rationale
A fasting blood glucose level of 180 mg/dL is significantly higher than the normal range of 74 to 106 mg/dL. This could indicate gestational diabetes, which can lead to various complications for both the mother and the baby. Therefore, this finding should be reported to the provider.
Choice C rationale
A creatinine level of 0.9 mg/dL is within the normal range of 0.5 to 1 mg/dL for a female client aged 18 to 40 years.
Choice D rationale
A WBC count of 11,000/mm is slightly above the normal range of 5,000 to 10,000/mm. However, it’s common for the WBC count to increase during pregnancy due to physiological changes. Therefore, this result does not need to be reported to the provider.

A. Temperature 37.4°C (99.3°F) B. Scant lochia C. WBC count 9,000/mm D. Uterine tenderness

Correct Answer is D

Explanation

Choice A rationale
A temperature of 37.4°C (99.3°F) is within the normal range and does not indicate endometritis.
Choice B rationale
Scant lochia is not typically associated with endometritis. In fact, women with endometritis may experience heavy lochia or foul-smelling lochia.
Choice C rationale
A WBC count of 9,000/mm is within the normal range and does not indicate endometritis.
Choice D rationale

Uterine tenderness is a common symptom of endometritis. Other symptoms can include fever, malaise, and foul-smelling lochia.

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A nurse is caring for a client in the second stage of labor who is experiencing shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver. What action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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A nurse is caring for a client in the second stage of labor who is experiencing shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver.
What action should the nurse take?