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Shoulder Dystocia — NCLEX Cheat Sheet

Turtle sign, OB emergency
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👤 By the CinnaRN Clinical Content Team 🕐 Updated 2026-07-11 🏷️ Reduction of Risk Potential 🔖 Free to read, print, and share
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Use this quick-reference guide to spot, treat, and prevent Shoulder Dystocia on the NCLEX. Keep it handy during review and on exam day!

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Def

Key facts
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Risk

Key facts

Do

Nursing actions
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Report

Notify / act now

Quick Tip

The 'turtle sign' (the fetal head retracts tightly against the perineum) signals shoulder dystocia.

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