skip to main content

Shoulder dystocia — ABEM Board MCQ

Instant feedback + full explanation. One question, done properly.

HardOB/GYN emergenciesShoulder dystociaABEM Board

A term infant delivers in the ED but the shoulders do not deliver after gentle downward traction. Triage acuity is ESI 1 for mother-baby pair; fetal head is retracted against the perineum. Maternal BP is 132/78 mm Hg, HR 104/min. Staff are at bedside. Which of the following is the most appropriate initial action?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Call for help and perform McRoberts maneuver with suprapubic pressure

Shoulder dystocia is initially managed by calling for help, McRoberts positioning, and suprapubic pressure; fundal pressure is avoided.

Reference: ACOG shoulder dystocia guidance