Case Archive
Registered Nurse (OB)
Ref. # 19128

A New Jersey woman presented to the hospital complaining of decreased fetal movement. Labor was induced after non-reactive non-stress test and biophysical profile of 4/8. Due to shoulder dystocia, the Zavanelli maneuver was performed and a prolapsed umbilical cord was discovered. The attending OB/GYN left the room to scrub. The patient was taken to the OR for a stat cesarean section. At birth the infant's Apgar scores were 0-0-3. The infant developed cerebral palsy. A medQuest OB nurse reported that the attending nurses negligently applied fundal pressure in the case of shoulder dystocia. Additionally, the attending nurses were in part liable for the mismanaged prolapsed cord, as they failed to question why no one was managing the acute emergency.

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