The manoeuver commonly used to manage shoulder dystocia is?

Appeared in: AIIMS Patna NO - 2020

Explanation

McRoberts' maneuver is a first-line, non-invasive intervention for resolving shoulder dystocia.
It involves hyperflexing the mother's thighs up onto her abdomen, which changes the pelvic angle.
This action rotates the symphysis pubis and flattens the sacrum, which can free the impacted anterior shoulder from behind the pubic bone.
It is simple to perform, can be done quickly, and is often successful, especially when combined with suprapubic pressure.

Option A: Rossete Manoeuver is not a standard or recognized procedure in obstetrics for managing shoulder dystocia.
Option C: Jeff Marshal Manoeuver is not a recognized medical term or procedure for shoulder dystocia.
Option D: McMilan Manoeuver is not a standard obstetric maneuver for managing shoulder dystocia.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Management of Shoulder Dystocia as background academic context rather than a clinical decision trigger.
Shoulder dystocia is an unpredictable obstetric emergency that requires immediate and coordinated action from the healthcare team to prevent serious harm to both mother and baby.
Nurses play a critical role in recognizing the signs of shoulder dystocia (e.g., the 'turtle-neck sign' where the fetal head retracts against the perineum) and assisting promptly with maneuvers like McRoberts'.
Potential complications of shoulder dystocia include fetal brachial plexus injury (Erb's palsy), clavicle fracture, hypoxic brain injury, and even death. Maternal complications include postpartum hemorrhage and severe perineal tears.

How to Approach the Question

First, identify the core clinical problem in the question stem: the management of 'shoulder dystocia'.
Recognize this as a question asking for a standard clinical procedure.
Recall the common, first-line maneuvers for this obstetric emergency. The McRoberts' maneuver is one of the most well-known.
Evaluate the options provided. Option B, 'McRoberts' Maneuver', is a standard procedure.
Eliminate the other options (Rossete, Jeff Marshal, McMilan) as they are not recognized obstetric maneuvers.
Confirm your choice based on the knowledge that McRoberts' is a primary intervention for shoulder dystocia.

Concept Tested & Keywords

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E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 18-26

E6 Obstetrics Williams p. 7-18

Practise the full AIIMS Patna NO - 2020

Attempt every question from this paper in a timed mock, then review the full solution for each one.