skip to main content

Shoulder dystocia — RCPSC EM MCQ

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

ModerateOB/GYN emergenciesShoulder dystociaRCPSC EM

During an ED delivery, the head delivers but retracts against the perineum. Gentle traction does not deliver the anterior shoulder. Fetal heart rate is 80/min. What is the most appropriate initial management?

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

Reveal the answer and explanation

Correct answer: E — McRoberts manoeuvre with suprapubic pressure and call for help

Shoulder dystocia requires help, timing, McRoberts positioning, and suprapubic pressure as initial manoeuvres. Fundal pressure and excessive traction increase harm.

Reference: SOGC shoulder dystocia guidance; ALSO obstetric emergencies