Should Dystocia
Postpartum Hemorrhage
Newborn Resuscitation
Communication & Leadership
Chaos Control
100

Name 2 evidence-based maneuvers for shoulder dystocia performed by nurses? 

What are McRobert's Maneuver and suprapubic pressure 

100

What is the first line uterotonic for bleeding?

What is Oxytocin? 

100

What are the first steps of NRP? 

What is warm, dry, position airway, clear secretions if needed, and stimulate? 

100

What is closed loop communication? 

What is repeating back an order or instruction to confirm understanding? 

100

What are the steps in activating a massive transfusion protocol? 

What is call designated number, provide the patient ID and location, confirm with lab, and request blood products? 

200

What is the correct application direction of suprapubic pressure? 

What is downward and lateral? (Pressing anteriorly or posteriorly against infant shoulder)

200

What's the proper order of intervention after a boggy uterus? 

What is fundal massage, assess bleeding, administer uterotonics, call for help? 

200

When do you begin PPV? 

What is when the heart rate is <100 BPM or the infant is apneic/gasping?  

200

When should the charge nurse be called? 

What is at the first sign of maternal or neonatal deterioration, or when the nurse feels unsafe? 

200

Why is early NICU notification crucial? 

What is to allow time for setup, staffing, and immediate intervention after delivery? 

300

Which maneuver puts the patients on hands and knees? 

What is the Gaskin maneuver? 


300

At what mL blood loss do we initiate Phase I of the hemorrhage protocol? 

What is 500ml for a vaginal delivery and 1000ml for a cesarean delivery? 

300

What temperature must the infant warmer be at before delivery and where is the proper placement of the temperature probe during resuscitation of infant? 

What is 36.5-37.5C (97.7-99.5F) and the right upper quadrant of the abdomen? 

300

How can elevated noise levels of multiple people shouting in a room negatively affect an emergency response? 

What is increased confusion, missed orders, and delayed interventions? 

300

How do we reduce delays in OB emergencies?

What is calling for help early using the proper system, having safety checklists, having supplies ready, practicing drills, and good communication? 

400

What is the goal of Rubin manuever? 

What is to rotate the fetal shoulders to a more favorable position? 

400

What is the newest recommendation for administration of Misoprostal? 

What is Buccally?

400

What is time goal for initial steps of newborn resuscitation?

What is within the first 30 seconds of life? 

400

Why is documentation so important during or immediately after a critical event important? Even in the chaos? 

What is to ensure accurate record of interventions, support legal safety, and guide debrief or improvement? 

400

What is the best way to avoid role confusion during an emergency? 

What is assertively assigning clear roles out loud and using name/role identification? 

500

What are the rescue measures for shoulder dystocia? 

What is Zevanelli maneuver and fracturing the clavicle? 

500

Name a mechanical intervention used for controlled bleeding? 

What is a Bakri balloon or a Jada device? 

500

When should you call for NICU support? 

What is before delivery if known risk factors or immediately if infant shows signs of compromise? 

500

What is the safe way to hand off a patient or leave a room during a crisis? 

What is verbal handoff with name, role, and location to another team member? 

500

Name one high-reliability team behavior that reduces chaos? 

What is speaking up with concerns, using words such as "I'm concerned", using SBAR, and debriefing.