What is the recommended action if a shoulder dystocia is suspected during labor?

When shoulder dystocia is suspected during labor, the recommended action is to perform the McRoberts maneuver and assess fetal heart rate. The McRoberts maneuver involves flexing the mother's legs tightly to her abdomen, which can help alleviate the obstruction caused by the baby's shoulder getting stuck behind the pubic symphysis. This position optimizes the angle of the pelvis, potentially allowing for easier passage of the baby’s shoulders.

In addition to executing this maneuver, it is crucial to continuously monitor the fetal heart rate. This monitoring is important to quickly identify any signs of fetal distress, which may occur if the baby is experiencing prolonged compression during the dystocia. The combination of these actions allows for a more effective and immediate response to the complications arising from shoulder dystocia while keeping the well-being of both the mother and the fetus in focus.

Other responses, such as immediate preparation for an emergency cesarean, do not address the immediate management of shoulder dystocia. Similarly, simply monitoring uterine contractions without active intervention does not resolve the obstruction, and affirming that continuous fetal monitoring is unnecessary fails to prioritize the health of the baby during this critical situation.