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 accurately pairs each maneuver with its established clinical purpose.
• McRoberts maneuver (A) is specifically for shoulder dystocia (III), involving hyperflexion of the mother's legs to alter pelvic dimensions.
• Heimlich maneuver (B) is a first-aid procedure for choking (V), using abdominal thrusts to clear the airway.
• Leopold's maneuvers (C) are a systematic way to palpate the abdomen to determine fetal presentation and position (II).
• Jaw-thrust maneuver (D) is the preferred method for opening an airway in a trauma patient with a suspected cervical spine injury (I) as it avoids neck movement.
• Valsalva maneuver (E) is the act of forced exhalation against a closed glottis, which is used to increase intrathoracic pressure (IV) for various diagnostic and therapeutic purposes.

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). Leopold's is for fetal assessment, and Valsalva is for increasing pressure.
• Option B: This option contains 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). Leopold's is for fetal assessment, and Jaw-thrust is for airway management.

Related Visual

• Visual 1: Diagram - An illustration showing a healthcare provider performing the McRoberts maneuver on a pregnant woman, highlighting the change in pelvic angle.
• Visual 2: Infographic - A step-by-step guide on how to perform the Heimlich maneuver on an adult.
• Visual 3: Diagram - A series of four images demonstrating the four distinct Leopold's maneuvers on a pregnant abdomen.
• Visual 4: Illustration - A clear depiction of the hand placement for performing the Jaw-thrust maneuver, contrasting it with the head-tilt-chin-lift.

Clinical Relevance

• Nursing practice connection: Prioritize focused assessment, early escalation, and real-time monitoring when managing Matching of various clinical and emergency maneuvers with their correct indications and uses in acute care settings.
• Nurses must be able to differentiate and correctly apply these maneuvers in various clinical settings.
• In obstetrics, rapid identification and application of the McRoberts maneuver can be life-saving for a fetus during shoulder dystocia.
• In emergency and critical care, knowing the Heimlich and Jaw-thrust maneuvers is a basic life support skill essential for patient safety.

How to Approach the Question

• This is a 'Match the Following' question. The goal is to pair items from List I with the correct items from List II.
• Start by identifying the matches you are most confident about. For example, most people know the Heimlich maneuver is for choking (B-V).
• Next, identify other common pairings. Leopold's maneuvers are standard in obstetrics for fetal assessment (C-II).
• Use these confirmed pairs (B-V, C-II) to eliminate incorrect options. Look at the options provided. Only option C contains both B-V and C-II.
• Confirm the remaining matches in the selected option. A-III (McRoberts for shoulder dystocia), D-I (Jaw-thrust for C-spine injury), and E-IV (Valsalva for increased pressure) are all correct.
• This process of elimination based on one or two certain matches is an efficient way to solve matching questions.

Concept Tested & Keywords

• Concept Tested: Matching of various clinical and emergency maneuvers with their correct indications and uses.
• Stem keywords: McRoberts maneuver, Heimlich maneuver, Leopold's maneuver, Jaw-thrust maneuver, Valsalva maneuver
• Lead-in keywords: Match the following

Question ID

QmW8MGvpkk8FKDtb72taAZ

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