The nurse has been caring for a primiparous client who is suspected of carrying a macro-somic infant

Question

Pushing appears to have been effective so far; however, as soon as the head is born, it retracts against the perineum much like a turtle's head drawing into its shell. In evaluating the labor progress so far, the nurse is aware that this is normal with large in-fants and extra pushing efforts by the mother may be necessary. Indicate whether the statement is true or false

Answer 1

F
This is often referred to as the "turtle sign" and is an indication of shoulder dystocia. Delayed or difficult birth of the shoulders may occur if they become impacted above the maternal symphysis pubis. This complication of birth requires immediate intervention because the umbilical cord is compressed and the chest cannot expand within the vagina. Any of several methods may be employed to relieve the impacted shoulders. Shoulder dystocia is unpre-dictable and although more common in large infants, can occur with a baby of any weight.