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OBG · Labour
Sample itemWhat is the first manoeuvre for shoulder dystocia after calling for help?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. McRoberts manoeuvre
McRoberts manoeuvre flexes the maternal hips and can widen pelvic dimensions; fundal pressure should be avoided because it can worsen impaction.
Option by option
A. Immediate forceps rotation
Forceps rotation is not the initial dystocia manoeuvre.
B. Manual placental removal
Placental removal is unrelated before delivery.
C. McRoberts manoeuvre (correct)
Correct: McRoberts is an early standard response.
D. Fundal pressure
Fundal pressure can worsen shoulder impaction.
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.