Shoulder dystocia Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

Learning videos

Flashcards

Expert reviewed

Spaced Repetition

Mobile app

Custom Quizzes

1 of 3

A 35-year-old woman, gravida 3, para 2, at 40 weeks' gestation, presents to the hospital in active labor. Her contractions began 4 hours ago and have become stronger and more frequent. She reports that her membranes ruptured 2 hours ago. She has gestational diabetes, which is well-controlled with diet and exercise. An ultrasound performed 2 days ago revealed an estimated fetal weight of 4,200 grams with a normal amniotic fluid volume. Her previous pregnancies were uncomplicated and resulted in vaginal deliveries of infants weighing 4,000 and 4,100 grams, respectively. Vital signs are within normal limits. The cervix is fully effaced and dilated to 10 cm. After pushing for 15 minutes, the head delivers. Gentle downward traction is applied to the fetal head, but the shoulders do not deliver, and the fetal head retracts against the perineum. Which of the following is the most appropriate next step in management?

Elimination tool

Choose an option:

Hyperflex and abduct the maternal hips

Attempt to deliver the posterior arm

Perform episiotomy

Apply fundal pressure

Manually attempt to rotate the fetus inside the vagina