Match the following maneuvers with their respective indications or uses:

List I (Maneuver): | List II (Indication or Use):

A) McRoberts maneuver | I) To maintain airway in a patient with suspected cervical spine injury

B) Heimlich maneuver | II) Position used to assess fetal presentation

C) Leopold's maneuver | III) To assist delivery of a baby during shoulder dystocia

D) Jaw-thrust maneuver | IV) Used to increase intrathoracic pressure

E) Valsalva maneuver | V) Relief of choking

1. A

   A-III, B-V, C-IV, D-I, E-II

2. B

   A-II, B-IV, C-III, D-V, E-I

3. C

   A-III, B-V, C-II, D-I, E-IV

4. D

   A-III, B-V, C-I, D-II, E-IV

Appeared in: NORCET 7 Prelims -2024

Explanation

• The correct option correctly pairs each maneuver with its specific clinical application.
• McRoberts maneuver (A) is used for shoulder dystocia (III), an obstetric emergency.
• Heimlich maneuver (B) is a first-aid technique for choking (V).
• Leopold's maneuver (C) is an assessment technique to determine fetal presentation (II) during pregnancy.
• Jaw-thrust maneuver (D) is the safest way to open an airway in a patient with a suspected cervical spine injury (I).
• Valsalva maneuver (E) involves forced exhalation to increase intrathoracic pressure (IV), used for various physiological assessments and actions.

Why Other Options Were Wrong

• Option A: This option incorrectly matches Leopold's maneuver (C) with increasing intrathoracic pressure (IV) and the Valsalva maneuver (E) with assessing fetal presentation (II).
• Option B: This option has multiple incorrect pairings. For example, it matches McRoberts maneuver (A) with assessing fetal presentation (II) and Heimlich maneuver (B) with increasing intrathoracic pressure (IV).
• Option D: This option incorrectly matches Leopold's maneuver (C) with maintaining an airway (I) and the Jaw-thrust maneuver (D) with assessing fetal presentation (II).

Related Visual

Clinical Relevance

• Nursing practice connection: Prioritize focused assessment, early escalation, and real-time monitoring when managing Matching of various clinical maneuvers with their specific indications and uses in nursing and medical practice in acute care settings.
• Nurses must be proficient in identifying the correct situations to use these maneuvers, as they are applied in diverse settings from labor and delivery to emergency first aid.
• Correctly performing Leopold's maneuvers is a fundamental skill for antenatal assessment, guiding care plans for labor and delivery.
• In an emergency, rapid and correct application of the Heimlich or Jaw-thrust maneuver can be life-saving by restoring a patient's airway.

How to Approach the Question

• This is a 'Match the Following' question, which tests your recall of specific procedures and their uses.
• First, read through all the items in List I (Maneuvers) and List II (Indications).
• Address each maneuver one by one. Start with the one you are most confident about. For example, you might know that the Heimlich maneuver is for choking.
• Match 'B) Heimlich maneuver' with 'V) Relief of choking'. So, B-V must be in the correct answer.
• Systematically match the remaining maneuvers: McRoberts with shoulder dystocia (A-III), Leopold's with fetal assessment (C-II), Jaw-thrust with airway in spinal injury (D-I), and Valsalva with intrathoracic pressure (E-IV).
• Once you have all the pairs (A-III, B-V, C-II, D-I, E-IV), scan the options to find the one that contains this exact combination.

Concept Tested & Keywords

• Concept Tested: Matching of various clinical maneuvers with their specific indications and uses in nursing and medical practice.
• Stem keywords: McRoberts maneuver, Heimlich maneuver, Leopold's maneuver, Jaw-thrust maneuver, Valsalva maneuver, shoulder dystocia, choking, fetal presentation
• Lead-in keywords: Match the following
• Negative lead-in flag: false

Question ID

QmW8MGvpkk8FKDtb72taAZ

Copy ID

Reference Book

E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 17-25

E6 Anatomy Applied Ashalatha 4e p. 96-98