Labour: breech delivery: 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.

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OBG · Labour: breech delivery

Sample item

During assisted breech delivery, the arms are found extended above the head. Which manoeuvre is used?

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

The answer and the reasoning

D. Lovset's manoeuvre

Lovset's manoeuvre rotates the fetal trunk through 180 degrees, bringing each posterior arm anterior beneath the symphysis so it can be delivered. The Mauriceau-Smellie-Veit manoeuvre delivers the after-coming head. McRoberts is used in shoulder dystocia.

Option by option

  • A. Mauriceau-Smellie-Veit manoeuvre

    MSV is used for the after-coming head.

  • B. Zavanelli manoeuvre

    Zavanelli involves cephalic replacement and is not used here.

  • C. McRoberts manoeuvre

    McRoberts is for shoulder dystocia.

  • D. Lovset's manoeuvre (correct)

    Correct. Lovset's rotation frees extended arms.

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 D, Lovset's manoeuvre. Lovset's manoeuvre rotates the fetal trunk through 180 degrees, bringing each posterior arm anterior beneath the symphysis so it can be delivered.

Why is "Mauriceau-Smellie-Veit manoeuvre" not the answer?

MSV is used for the after-coming head.

Why is "Zavanelli manoeuvre" not the answer?

Zavanelli involves cephalic replacement and is not used here.

Why is "McRoberts manoeuvre" not the answer?

McRoberts is for shoulder dystocia.

What concept does this question test?

It tests Labour: breech delivery in OBG. The Mauriceau-Smellie-Veit manoeuvre delivers the after-coming head. McRoberts is used in shoulder dystocia.

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: breech delivery?

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.