Labour emergencies: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

Try it

OBG · Labour emergencies

Sample item

What is the first maneuver commonly used for shoulder dystocia?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. McRoberts positioning

McRoberts positioning flexes the mother's hips to improve pelvic geometry and is an early maneuver for shoulder dystocia; excessive traction and fundal pressure are avoided.

Option by option

  • A. Fundal pressure

    Fundal pressure can worsen impaction and is avoided.

  • B. McRoberts positioning (correct)

    Correct: McRoberts is a standard first response.

  • C. Immediate forceful traction

    Forceful traction risks brachial plexus injury.

  • D. Routine episiotomy only

    Episiotomy alone does not release the impacted shoulder.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is B, McRoberts positioning. McRoberts positioning flexes the mother's hips to improve pelvic geometry and is an early maneuver for shoulder dystocia; excessive traction and fundal pressure are avoided.

Why is "Fundal pressure" not the answer?

Fundal pressure can worsen impaction and is avoided.

Why is "Immediate forceful traction" not the answer?

Forceful traction risks brachial plexus injury.

Why is "Routine episiotomy only" not the answer?

Episiotomy alone does not release the impacted shoulder.

What concept does this question test?

It tests Labour emergencies in OBG. The correct option holds because: Correct: McRoberts is a standard first response.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Labour emergencies?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.