01-31-2007, 05:11 AM
27. A 30-year-old woman, gravida 2, para 1, is brought to the emergency department in labor. An episiotomy is performed. Following delivery of the head, the shoulders do not follow with the usual traction and maternal pushing. Which of the following is the most appropriate next step in management?
A
) Flexing the woman's knees toward her shoulders
B
) More forceful traction and fundal pressure
C
) Delivering the posterior arm
D
) Rotating the head 180 degrees
E
) Symphysiotomy
A
) Flexing the woman's knees toward her shoulders
B
) More forceful traction and fundal pressure
C
) Delivering the posterior arm
D
) Rotating the head 180 degrees
E
) Symphysiotomy