What physical assessment finding is expected in a newborn after a precipitous delivery?

Choice A rationale

Waiting for the next contraction is inappropriate in shoulder dystocia, where immediate action is required to prevent fetal hypoxia. Delaying intervention can lead to serious complications for the newborn.

Choice B rationale

The McRoberts maneuver, involving hyperflexion of the mother's legs, widens the pelvis, facilitating shoulder delivery in cases of shoulder dystocia. This technique reduces shoulder impaction effectively.

Choice C rationale

Applying fundal pressure is contraindicated in shoulder dystocia as it may worsen the impaction by compressing the fetal shoulders against the maternal pelvis, increasing the risk of injury.

Choice D rationale

Vacuum extraction is not recommended for shoulder dystocia management. This obstetric emergency requires specific maneuvers, like the McRoberts maneuver, to relieve the impacted shoulder.

Choice A rationale

Uterine atony refers to a lack of muscle tone in the uterus, leading to postpartum hemorrhage, not subinvolution.

Choice B rationale

Prolonged lochia discharge indicates incomplete uterine involution, as the uterus has not returned to its pre-pregnancy size.

Choice C rationale

Severe cramping may be related to other postpartum complications and is not specific to subinvolution.

Choice D rationale

High fever is more indicative of an infection rather than subinvolution of the uterus.