Which action should nurses avoid while rotational maneuvers are being applied during shoulder dystocia?

In the context of managing shoulder dystocia, instructing the patient to push during the application of rotational maneuvers is counterproductive and can exacerbate the situation. When a shoulder dystocia occurs, it is critical to alleviate the obstruction that the fetus is experiencing. Pushing during this stage may increase the pressure on the impacted shoulder and impede the effectiveness of the maneuvers being implemented to dislodge it.

Instead, the focus should be on facilitating the maneuvers aimed at resolving the dystocia without causing further harm or strain to both the mother and the fetus. Keeping the mother adequately informed about what is happening is essential, but the physical action of pushing can interfere with proper positioning and the success of the techniques being employed. Thus, the proper course of action is to avoid any instructions to push until the trained personnel determine it is safe to do so.