1 McRoberts maneuver; The McRoberts maneuver is employed in case of shoulder dystocia during childbirth and involves hyperflexing the mother's legs tightly to her abdomen. 2  This widens the pelvis, and flattens the spine in the lower back (lumbar spine).he major concern of shoulder dystocia is damage to the upper brachial plexus nerves. These supply the sensory and motor components of the shoulder, arm and hands. The aetiology of injury to the fetus is debated, but a probable mechanism is manual stretching of the nerves, which in itself can cause injury.
The RTP covers the 24 required core hours for NREMT recertification and includes the Scope of Practice Evaluation at course end. Review the recertification criteria for both the NREMT and NCOEMS on their websites. Prior review of your former course textbook and notes is highly recommended.
The average length of the first NREM-REM sleep cycle is between 70 and 100 minutes; the average length of the second and later cycles is about 90 to 120 minutes. The reason for such a specific cycling pattern of NREM and REM sleep across the night is unknown.