Question

The nurse has been caring for a primiparous patient who is suspected of carrying a macrosomic infant. 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 infants and extra pushing efforts by the mother may be necessary. Is this statement true or false?

Answer 1

When a macrosomic infant's head retracts against the perineum after being born, it is referred to as 'turtle sign.' This is normal for large infants, and extra pushing efforts by the mother may be necessary to deliver the baby.

Step-by-step explanation:

When the head of a macrosomic infant retracts against the perineum after being born, it is referred to as 'turtle sign,' and it is considered normal for large infants. This happens because the perineal tissues need time to stretch and accommodate the baby's head. In such cases, extra pushing efforts by the mother may be necessary to facilitate the delivery of the baby.