The fetal head delivers, then retracts against the perineum (turtle sign). What intervention should the nurse anticipate first?

Question

Accepted Answer

A. McRoberts maneuver with suprapubic pressure — Turtle sign suggests shoulder dystocia. McRoberts positioning and suprapubic pressure are common first maneuvers. Fundal pressure is avoided.

Answer

B. Fundal pressure to push the baby downward

Answer

C. Immediate forceful traction on the head

Answer

D. Turning the client prone without assistance